KERMIT KIM COWLEY (NPI# 1396862801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396862801 |
| Entity Type | Individual |
| Full Name | KERMIT KIM COWLEY |
| Credential | RPH |
| Practice Address |
2555 N. Wolf Creek Drive Eden UT 84310 |
| Mailing Address |
1930 Deer Run Dr South Weber UT 84405-9235 |
| Practice Telephone | 8017451800 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 346546-1701 | UT | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | UTAH PHARMACY LICENSE | 136546-1701 | 01 |
| Street Address |
2555 N. WOLF CREEK DRIVE |
| City | EDEN |
| State | UT |
| Zip Code | 84310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215493614 | Jared Andrew Rose | Physical Therapist | 2131 N 5500 E, Eden, UT 84310 | 2019-02-11 |
| 1346253515 | Roe Rx Inc | Durable Medical Equipment & Medical Supplies | 2555 North Wolf Creek Drive, Eden, UT 84310 | 2006-08-15 |
| 1023019593 | Bradley D Benard | Physical Therapist | 4920 E 2550 N, Unit C, Eden, UT 84310 | 2005-08-09 |
| 1770892366 | Trent C Henderson | Physical Therapist | 4920 E 2550 N, Unit C, Eden, UT 84310 | 2010-09-29 |
| 1003147745 | Michelle Ashby Cherry | Counselor | 2461 N Shady Lane, Eden, UT 84310-1091 | 2010-01-20 |
| 1164061370 | Oak Hill Medical Group LLC | Family Medicine | 6781 N 2100 E, Liberty, UT 84310-4701 | 2020-01-06 |
| 1902101892 | Chun Il Mah | Radiology | 4218 Sunrise Dr, Eden, UT 84310-6764 | 2011-01-24 |
| 1639492978 | Lorrie Harper | Physical Therapist | 4794 E 2600 N, Suite B, Eden, UT 84310-9535 | 2010-03-01 |
| 1013532001 | Aspen Wayment | Student in an Organized Health Care Education/Training Program | 2531 Shaw Dr, Liberty, UT 84310-9705 | 2020-06-15 |
| 1336695402 | Spirit Mountain Recovery, Inc. | Substance Abuse Rehabilitation Facility | 3181 E 3350 N, Eden, UT 84310-9712 | 2016-08-29 |
| Find all providers in zip 84310 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1689818965 | Miles Scott Vonlogan | Pharmacist | 109 S Van Buren Rd, Eden, NC 27288-5026 | 2009-04-30 |
| 1710167465 | Donna Techmanski | Pharmacist | 8079 N Main St, Eden, NY 14057-1118 | 2007-11-10 |
| 1871705681 | Danny Ray Dalton | Pharmacist | 509 S Van Buren Road, Eden, NC 27288-5018 | 2007-05-04 |
| 1184711020 | Mitchell's Discount Drugs, Inc | Pharmacist | 641 Washington St, Eden, NC 27288-6137 | 2006-10-10 |
| 1437170628 | Mitchell's Discount Drugs, Inc | Pharmacist | 544 Morgan Rd, Eden, NC 27288-2524 | 2006-07-22 |
| 1023638178 | Alexander Shatalov | Pharmacist | 625 S Van Buren Rd, Eden, NC 27288-5319 | 2020-04-19 |
| 1346884186 | Matthew Steven Sanchez | Pharmacist | 544 Morgan Rd, Eden, NC 27288-2524 | 2019-11-05 |
| 1699318113 | Chelsea Victoria Shields Burns | Pharmacist | 625 S Van Buren Rd, Eden, NC 27288-5319 | 2019-10-28 |
| 1841831922 | Aquisi Akinola | Pharmacist | 625 S Van Buren Rd, Eden, NC 27288-5319 | 2019-09-30 |
| Find all providers in EDEN | ||||
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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.