Provider Demographics
NPI:1245994029
Name:COVERMYMEDS PHARMACY LLC
Entity type:Organization
Organization Name:COVERMYMEDS PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT; MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:STURGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-465-4992
Mailing Address - Street 1:5101 JEFF COMMERCE DR., STE. B
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219-3336
Mailing Address - Country:US
Mailing Address - Phone:877-673-6355
Mailing Address - Fax:614-232-4865
Practice Address - Street 1:5101 JEFF COMMERCE DR., STE. B
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219-3336
Practice Address - Country:US
Practice Address - Phone:877-673-6355
Practice Address - Fax:614-232-4865
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCKESSON DISTRIBUTION HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-27
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCP00152OtherPHARMACY