P Praxis·MD
● Active Type 2 · Organization

Cowan Pharmacy Llc

Pharmacy·Conyers, GA· NPI 1073521845 · Enumerated 2006 · 19 years on NPI
Cowan Pharmacy Llc is 1 of 1965 pharmacy organizations in Georgia.
NPI age
19 years
Enumerated 2006-08-04
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mitcham
President
Last NPPES update
2018-07-19
Source: monthly bulk 2026-05

How this organization compares

Across 1965 active pharmacy providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1179 West Ave Sw
Conyers, GA 300125280
📞 7709291414fax 7709293002
Mailing address
1179 West Ave Sw
Conyers, GA 300125280
📞 7709291414fax 7709293002

Authorized official

Adam Mitcham
President
📞 7709291414

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Pharmacy Primary
    A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
    GA license #PHRE010400 taxonomy 3336C0003X

Identifiers

TypeValueNotes
05 (GA) 003202657A
01 2177325 PK

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Conyers Pharmacy
    Type code 3 recorded 2018-05-03

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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