CONYERS PHARMACY
NPI 1073521845
Pharmacy - Community/Retail Pharmacy in Conyers, GA

Active since August 04, 2006
1179 WEST AVE SW, CONYERS, GA 30012(770) 929-1414(770) 929-3002 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2018, May 3, 2018 (2 updates tracked since 2018).

About Conyers Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONYERS PHARMACY (NPI 1073521845) is a healthcare organization registered as a community/retail pharmacy in Conyers, Georgia and active in the NPI registry since August 2006. The organization lists Adam Mitcham, President, as its authorized official.

NPPES Registry Identity

NPI1073521845
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOWAN PHARMACY LLC
Location Address1179 WEST AVE SWConyers, GA 30012-5280
Mailing Address1179 West Ave SwConyers, GA 30012-5280 · (770) 929-1414 · Fax (770) 929-3002
Fax(770) 929-3002
Organization SubpartNo
Authorized OfficialAdam MitchamPresident · (770) 929-1414
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 19, 20182 updates tracked since enumeration
NPI 1073521845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in GA · PHRE010400
Definition
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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1179 WEST AVE SW, Conyers, GA 30012

Other Names 1

Doing Business AsConyers Pharmacy

Other Identifiers 2

Medicaid003202657AGA
Other2177325Pk

Accepted Insurance

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
51 services51 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
44 services44 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1179 WEST AVE SW
CONYERS, GA 30012
Pharmacy (Community/Retail Pharmacy)
1179 WEST AVE SW
CONYERS, GA 30012
Pharmacy (Long Term Care Pharmacy)
1179 WEST AVE SW
CONYERS, GA 30012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cowan Pharmacy LLC's NPI number?

The NPI number for Cowan Pharmacy LLC is 1073521845. It was assigned to this organization in the NPPES registry on August 4, 2006. The provider is doing business as Conyers Pharmacy.

Where is Cowan Pharmacy LLC located?

Cowan Pharmacy LLC is located at 1179 West Ave SW, Conyers, GA 30012. The listed phone number is (770) 929-1414.

What is Cowan Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Cowan Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Cowan Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cowan Pharmacy LLC was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.