COVENANT PHARMACY LLC (NPI# 1699950972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699950972 |
| Entity Type | Organization |
| Organization Name | COVENANT PHARMACY LLC |
| Other Organization Name | TRAIL CREEK PHARMACY |
| Practice Address |
2700 Tibbets Dr Ste 200 Bedford TX 76022-5928 |
| Practice Telephone | 8176849464 |
| Practice Fax Number | 8176849287 |
| Mailing Telephone | 8176849464 |
| Mailing Fax Number | 8176849287 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | ROB ZACHARIAH (PARTNER) |
| Authorized Official Telephone | 8176849464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28347 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 146739 | 05 | |
| PK | 2139586 | 01 |
| Other Name | Type Code |
|---|---|
| TRAIL CREEK PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851390892 | Covenant Pharmacy LLC | Pharmacy | 371a Highland Colony Pkwy, Ridgeland, MS 39157-6035 | 2005-07-20 |
| Street Address |
2700 TIBBETS DR STE 200 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76022-5928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306812193 | Heb Emergicare Pa | Emergency Medicine | 2700 Tibbets Dr, Suite #210, Bedford, TX 76022-5928 | 2006-02-23 |
| 1831626845 | Riny Thomas | Nurse Practitioner | 2700 Tibbets Dr, Bedford, TX 76022-5928 | 2017-05-22 |
| 1689027732 | Pathways To Independence, Inc. | Occupational Therapist | 2700 Tibbets Dr, Ste 301, Bedford, TX 76022-5928 | 2016-07-13 |
| 1700275179 | Parkinson Place Speechtherapy Pllc | Speech-Language Pathologist | 2700 Tibbets Dr, Suite 300, Bedford, TX 76022-5928 | 2015-01-22 |
| 1417227315 | Jessica Renee Clemons | Nurse Practitioner | 2700 Tibbets Dr, Ste 500, Bedford, TX 76022-5928 | 2012-01-09 |
| 1538456835 | Rebecca D Bowen | Speech-Language Pathologist | 2700 Tibbets Dr, Suite 300, Bedford, TX 76022-5928 | 2011-07-07 |
| 1740573740 | Healing Psychiatry Pllc | Clinic/Center | 2700 Tibbets Dr, Suite 406, Bedford, TX 76022-5928 | 2011-05-24 |
| 1568697209 | Frankie Lynn Burget | Massage Therapist | 2700 Tibbets Dr, #402, Bedford, TX 76022-5928 | 2009-05-26 |
| 1457540148 | Jaymi Daneill Palmer | Counselor | 2700 Tibbets Dr, Suite 502, Bedford, TX 76022-5928 | 2007-10-18 |
| 1497950554 | Nikhil Kiran Bhayani | Internal Medicine | 2700 Tibbets Dr, Ste 408, Bedford, TX 76022-6900 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
| 1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
| 1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
| 1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
| 1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
| 1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
| 1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
| 1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
| Find all providers in zip 76022 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1922589282 | Alphadome Pharmacy Inc | Pharmacy | 1125 Bedford Rd Ste B, Bedford, TX 76022-6669 | 2018-08-24 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1285130344 | Allen Rx, LLC. | Pharmacy | 1908 Central Dr Ste C, Bedford, TX 76021-5822 | 2018-04-05 |
| 1558739557 | Impulse Pharmacy Incorporated | Pharmacy | 3901 Airport Fwy Ste 116, Bedford, TX 76021-6117 | 2015-09-08 |
| 1285760231 | Doctor's Plaza Pharmacy | Pharmacy | 1305 Airport Fwy Ste 110, Bedford, TX 76021-6603 | 2007-02-26 |
| 1952489957 | Minyard Food Stores Inc. | Pharmacy | 2204 Airport Fwy, Bedford, TX 76022-6061 | 2006-11-01 |
| 1649354234 | Cvs Manchester Nh, L.L.C. | Pharmacy | 66 S River Rd, Bedford, NH 03110-6709 | 2006-10-24 |
| 1356440713 | Cvs Pharmacy Inc | Pharmacy | 199 Great Rd, Bedford, MA 01730-2713 | 2006-09-22 |
| 1780783944 | Thrift Drug Inc | Pharmacy | 109 Railroad St, Bedford, PA 15522-1014 | 2006-09-22 |
| Find all providers in BEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.