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Cow Creek Health and Wellness Pharmacy

NPI 1639036916ActiveOrganization· Pharmacist· Roseburg, OR

Pharmacist in Roseburg, Oregon, registered in NPPES in January 2026, part of Cow Creek Band of Umpqua Tribe of Indians. The authorized official on file is Tillie Ann Henry, ED.D, Health Operations Administrator.

Overview

NPI1639036916
StatusActive
Entity typeOrganization (subpart)
Parent organizationCow Creek Band of Umpqua Tribe of Indians
NPI issuedJan 7, 2026
Last updated in NPPESMar 18, 2026
Certified by providerMar 18, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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