Provider Demographics
NPI:1801835269
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: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., STE. 100A / 100B
Practice Address - Street 2:
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?:Yes
Parent Organization LBN:MCKESSON DISTRIBUTION HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-04
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X, 3336S0011X
TX250393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX35278OtherPHARMACY
NJ28RO00050000OtherPHARMACY STATE LICENSE
OK99-8555OtherPHARMACY STATE LICENSE
KYTX2547OtherPHARMACY STATE LICENSE
VA0214001013OtherPHARMACY STATE LICENSE
MO2019041860OtherPHARMACY STATE LICENSE
KS22-110161OtherPHARMACY STATE LICENSE
MN265886OtherPHARMACY STATE LICENSE
DEA9-0002384OtherPHARMACY STATE LICENSE
PANP000213OtherPHARMACY STATE LICENSE
CANRP2298OtherPHARMACY STATE LICENSE
FLPH32343OtherSTATE PHARMACY LICENSE
NVPH02164OtherPHARMACY STATE LICENSE
IL054.021371OtherPHARMACY STATE LICENSE
MS07072OtherPHARMACY STATE LICENSE
NC14215OtherPHARMACY STATE LICENSE
SC19020OtherPHARMACY STATE LICENSE
NE518OtherPHARMACY STATE LICENSE
WVMO0561435OtherPHARMACY STATE LICENSE
COOSP.005642OtherPHARMACY STATE LICENSE
GAPHNR001817OtherPHARMACY STATE LICENSE
HIPMP-1648OtherPHARMACY STATE LICENSE
TN0000004312OtherPHARMACY STATE LICENSE
WI261-43OtherSTATE PHARMACY LICENSE
SD400-2024OtherPHARMACY STATE LICENSE
IN64002864AOtherPHARMACY STATE LICENSE
DCNRX1901634OtherPHARMACY STATE LICENSE
AL112901OtherPHARMACY STATE LICENSE
UT11322756-1708OtherPHARMACY STATE LICENSE
WVNR-51724OtherPHARMACY STATE LICENSE
NHNR1774OtherSTATE PHARMACY LICENSE
AROS02078OtherPHARMACY STATE LICENSE
MDP08103OtherPHARMACY STATE LICENSE
CTPCN.0000798OtherPHARMACY STATE LICENSE
LAPHY.008059-NROtherPHARMACY STATE LICENSE
NDPHAR1641OtherPHARMACY STATE LICENSE
AK145649OtherPHARMACY STATE LICENSE
IA5109OtherPHARMACY STATE LICENSE
MI5301008475OtherPHARMACY STATE LICENSE
NMPH00004871OtherPHARMACY STATE LICENSE
RIPHN11709OtherPHARMACY STATE LICENSE
OH0240000141OtherPHARMACY STATE LICENSE
VT036.0134301OtherPHARMACY STATE LICENSE
TX32821OtherSTATE PHARMACY LICENSE
ID55585MSOtherPHARMACY STATE LICENSE
MEMO40002679OtherPHARMACY STATE LICENSE
MTPHA-MOP-LIC--64724OtherPHARMACY STATE LICENSE
WAPHNR.FO.60974741OtherPHARMACY STATE LICENSE
ORR-0002331-CSOtherPHARMACY STATE LICENSE
AZY008200OtherPHARMACY STATE LICENSE