Active NPI
Garrett Owens, PHARMD
- Pharmacist
- Tyler, TX
National Provider Identifier
1881286649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63250
- Practice address
- 2236 Broussard St
Tyler, TX 75701-8485 - Phone
- (800) 232-3359
- NPI assigned
- Feb 3, 2021
- Last updated
- Feb 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63250 | TX | Primary |
Addresses
Primary practice location
2236 Broussard St
Tyler, TX 75701-8485
Mailing address
2236 Broussard St
Tyler, TX 75701-8485
Phone (800) 232-3359
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | garrett.owens@pharmerica.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63250 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Corporation of America | Current | Accepting new patients | |
| Pharmacy Corporation of America | Past | Accepting new patients |
Locations
2236 Broussard St
Tyler, TX 75701
Phone (800) 232-3359
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1881286649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2236 BROUSSARD ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757018485",
"telephone_number": "800-232-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2236 BROUSSARD ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757018485",
"telephone_number": "800-232-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "GARRETT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63250",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "garrett.owens@pharmerica.com",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "2236 Broussard St",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757018485",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.