Provider Demographics
NPI: | 1801835269 |
---|---|
Name: | COVERMYMEDS PHARMACY LLC |
Entity Type: | Organization |
Organization Name: | COVERMYMEDS PHARMACY LLC |
Other - Org Name: | RXC ACQUISITION COMPANY |
Other - Org Type: | Former Legal Business Name |
Authorized Official - Title/Position: | VP, TREASURER AND MANAGER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | EDWARD |
Authorized Official - Middle Name: | FRANKLIN |
Authorized Official - Last Name: | CHILDRESS |
Authorized Official - Suffix: | III |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 901-340-5999 |
Mailing Address - Street 1: | PO BOX 3918 |
Mailing Address - Street 2: | |
Mailing Address - City: | COPPELL |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75019-4311 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 888-479-6337 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 845 REGENT BLVD |
Practice Address - Street 2: | SUITES 100A/100B |
Practice Address - City: | IRVING |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75063 |
Practice Address - Country: | US |
Practice Address - Phone: | 888-479-6337 |
Practice Address - Fax: | 866-423-2979 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-06-04 |
Last Update Date: | 2024-04-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
333600000X, 3336C0003X, 3336S0011X | ||
TX | 25039 | 3336C0003X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3336S0011X | Suppliers | Pharmacy | Specialty Pharmacy |
No | 333600000X | Suppliers | Pharmacy | |
No | 3336C0003X | Suppliers | Pharmacy | Community/Retail Pharmacy |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 32821 | Other | STATE PHARMACY LICENSE |
NJ | 28RO00050000 | Other | PHARMACY STATE LICENSE |
OK | 99-8555 | Other | PHARMACY STATE LICENSE |
KY | TX2547 | Other | PHARMACY STATE LICENSE |
VA | 0214001013 | Other | PHARMACY STATE LICENSE |
MO | 2019041860 | Other | PHARMACY STATE LICENSE |
KS | 22-110161 | Other | PHARMACY STATE LICENSE |
MN | 265886 | Other | PHARMACY STATE LICENSE |
DE | A9-0002384 | Other | PHARMACY STATE LICENSE |
PA | NP000213 | Other | PHARMACY STATE LICENSE |
CA | NRP2298 | Other | PHARMACY STATE LICENSE |
FL | PH32343 | Other | STATE PHARMACY LICENSE |
NV | PH02164 | Other | PHARMACY STATE LICENSE |
IL | 054.021371 | Other | PHARMACY STATE LICENSE |
MS | 07072 | Other | PHARMACY STATE LICENSE |
NC | 14215 | Other | PHARMACY STATE LICENSE |
SC | 19020 | Other | PHARMACY STATE LICENSE |
NE | 518 | Other | PHARMACY STATE LICENSE |
WV | MO0561435 | Other | PHARMACY STATE LICENSE |
CO | OSP.005642 | Other | PHARMACY STATE LICENSE |
GA | PHNR001817 | Other | PHARMACY STATE LICENSE |
HI | PMP-1648 | Other | PHARMACY STATE LICENSE |
TN | 0000004312 | Other | PHARMACY STATE LICENSE |
WI | 261-43 | Other | STATE PHARMACY LICENSE |
SD | 400-2024 | Other | PHARMACY STATE LICENSE |
IN | 64002864A | Other | PHARMACY STATE LICENSE |
DC | NRX1901634 | Other | PHARMACY STATE LICENSE |
AL | 112901 | Other | PHARMACY STATE LICENSE |
UT | 11322756-1708 | Other | PHARMACY STATE LICENSE |
WV | NR-51724 | Other | PHARMACY STATE LICENSE |
NH | NR1774 | Other | STATE PHARMACY LICENSE |
AR | OS02078 | Other | PHARMACY STATE LICENSE |
MD | P08103 | Other | PHARMACY STATE LICENSE |
CT | PCN.0000798 | Other | PHARMACY STATE LICENSE |
LA | PHY.008059-NR | Other | PHARMACY STATE LICENSE |
ND | PHAR1641 | Other | PHARMACY STATE LICENSE |
AK | 145649 | Other | PHARMACY STATE LICENSE |
IA | 5109 | Other | PHARMACY STATE LICENSE |
MI | 5301008475 | Other | PHARMACY STATE LICENSE |
NM | PH00004871 | Other | PHARMACY STATE LICENSE |
RI | PHN11709 | Other | PHARMACY STATE LICENSE |
OH | 0240000141 | Other | PHARMACY STATE LICENSE |
VT | 036.0134301 | Other | PHARMACY STATE LICENSE |
TX | 32821 | Other | STATE PHARMACY LICENSE |
ID | 55585MS | Other | PHARMACY STATE LICENSE |
ME | MO40002679 | Other | PHARMACY STATE LICENSE |
MT | PHA-MOP-LIC--64724 | Other | PHARMACY STATE LICENSE |
WA | PHNR.FO.60974741 | Other | PHARMACY STATE LICENSE |
OR | R-0002331-CS | Other | PHARMACY STATE LICENSE |
AZ | Y008200 | Other | PHARMACY STATE LICENSE |