COWAN PHARMACY LLC (NPI# 1417226135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417226135 |
| Entity Type | Organization |
| Organization Name | COWAN PHARMACY LLC |
| Other Organization Name | COWAN PHARMACY |
| Practice Address |
2571 Cowan Blvd Fredericksburg VA 22401-8440 |
| Practice Telephone | 5406562989 |
| Practice Fax Number | 5403708990 |
| Mailing Telephone | 5406562989 |
| Mailing Fax Number | 5403708990 |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | MYLINH NGUYEN (OWNER) |
| Authorized Official Telephone | 5406562989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
0201004460 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2133424 | 01 |
| Other Name | Type Code |
|---|---|
| Cowan Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073521845 | Cowan Pharmacy LLC | Pharmacy | 1179 West Ave Sw, Conyers, GA 30012-5280 | 2006-08-04 |
| 1558875294 | Cowan Pharmacy LLC | Pharmacy | 1179 West Ave Sw, Conyers, GA 30012-5280 | 2017-11-16 |
| Street Address |
2571 COWAN BLVD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-8440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574536 | Hnr Family Pharmacy | Pharmacy | 3449 Fall Hill Ave, Fredericksburg, VA 22401-4929 | 2017-01-10 |
| 1770132565 | Mikosh Drug Company, LLC | Pharmacy | 334 W Main St, Fredericksburg, TX 78624-3712 | 2019-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912524141 | Tps Lab LLC | Pharmacy | 4097 Ironbound Rd Ste B, Williamsburg, VA 23188-2676 | 2020-07-03 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1689177552 | Jp Pharma LLC | Pharmacy | 3534 Electric Rd, Roanoke, VA 24018-4453 | 2018-03-16 |
| 1861901340 | Personalmed Virginia Pharmacy Services | Pharmacy | 12007 Sunrise Valley Dr Ste 110, Reston, VA 20191-3460 | 2017-09-27 |
| 1053841015 | Specialty Care Rx LLC | Pharmacy | 111 Fashion Rd Ste Abc, Pounding Mill, VA 24637-1200 | 2017-06-13 |
| 1104362227 | Prosperity Rx Arlington | Pharmacy | 5101 Lee Hwy, Arlington, VA 22207-1603 | 2017-01-12 |
| 1144772476 | Mechanicsville Chemist LLC | Pharmacy | 8324 Bell Creek Rd Ste 800, Mechanicsville, VA 23116-3849 | 2016-11-03 |
| 1700159696 | Elkton Healthcare Services Inc | Pharmacy | 111 S Stuart Ave, Elkton, VA 22827-1525 | 2012-02-22 |
| 1497042956 | Nova Pharmacy LLC | Pharmacy | 6023 Wilson Blvd, Arlington, VA 22205-1503 | 2011-07-06 |
| 1871731448 | Jefferson Pharmacy | Pharmacy | 194 Turkeysag Trl Ste B, Palmyra, VA 22963-2661 | 2009-02-04 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.