Healthcare Provider Details

I. General information

NPI: 1417443110
Provider Name (Legal Business Name): EMILY MARIE OWENS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2018
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 N MITCHELL AVE
BAKERSVILLE NC
28705-6502
US

IV. Provider business mailing address

86 N MITCHELL AVE
BAKERSVILLE NC
28705-6502
US

V. Phone/Fax

Practice location:
  • Phone: 828-688-2104
  • Fax:
Mailing address:
  • Phone: 828-688-2104
  • Fax: 423-390-3340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number700330
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number30855
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number60859519
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: