Individual provider Active NPI

Betsy McCowen, PHARM. D.

  • Pharmacist
  • Villa Rica, GA
National Provider Identifier
1790188019
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
020503 Issued in GA
Practice address
600 Highway 61
600 Carrollton Villa Rica Highway
Villa Rica, GA 30180-4969
Phone
(770) 459-9117
Fax
(770) 459-8332
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 020503 GA Primary

Addresses

Primary practice location

600 Highway 61
600 Carrollton Villa Rica Highway
Villa Rica, GA 30180-4969

Mailing address

600 Highway 61
600 Carrollton Villa Rica Highway
Villa Rica, GA 30180-4969
Phone (770) 459-9117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
020503GAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1790188019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHWAY 61",
            "address_2": "600 CARROLLTON VILLA RICA HIGHWAY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301804969",
            "telephone_number": "770-459-9117",
            "fax_number": "770-459-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHWAY 61",
            "address_2": "600 CARROLLTON VILLA RICA HIGHWAY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301804969",
            "telephone_number": "770-459-9117",
            "fax_number": "770-459-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOWEN",
        "first_name": "BETSY",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "020503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.