Provider Demographics
NPI:1942398995
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 DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219-3336
Mailing Address - Country:US
Mailing Address - Phone:800-810-1184
Mailing Address - Fax:502-753-8393
Practice Address - Street 1:5101 JEFF COMMERCE DR STE A
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:800-810-1184
Practice Address - Fax:502-753-8393
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCKESSON DISTRIBUTION HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-11
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05298OtherPHARMACY STATE LICENSE
AK148351OtherPHARMACY STATE LICENSE
NVPH01678OtherPHARMACY STATE LICENSE
KY7100332610Medicaid
KY1827104OtherNCPDP
COOSP.0005286OtherPHARMACY STATE LICENSE
FLPH21507OtherPHARMACY STATE LICENSE
GAPHNR000170OtherPHARMACY STATE LICENSE
OH021545800OtherPHARMACY STATE LICENSE
NE324OtherPHARMACY STATE LICENSE
PANP000514OtherPHARMACY STATE LICENSE
NY036359OtherPHARMACY STATE LICENSE
AL112709OtherPHARMACY STATE LICENSE
SD400-2023OtherPHARMACY STATE LICENSE
IA5110OtherPHARMACY STATE LICENSE
MI5301008241OtherPHARMACY STATE LICENSE
AROS01489OtherPHARMACY STATE LICENSE
CTPCN.0000417OtherPHARMACY STATE LICENSE
HIPMP-1640OtherPHARMACY STATE LICENSE
NJ28RO00034400OtherPHARMACY STATE LICENSE
IL054.021367OtherPHARMACY STATE LICENSE
MI2019041864OtherPHARMACY STATE LICENSE
CANRP2299OtherPHARMACY STATE LICENSE
KYP08325OtherPHARMACY PERMIT
AZYOO8121OtherPHARMACY STATE LICENSE
MDP08106OtherPHARMACY STATE LICENSE
CTPCN.0000417OtherPHARMACY STATE LICENSE
NVPH01678OtherPHARMACY STATE LICENSE
MTPHA-MOP-LIC-63231OtherPHARMACY STATE LICENSE
RIPHN11708OtherPHARMACY STATE LICENSE
IN64002846AOtherPHARMACY STATE LICENSE
DEA9-0002371OtherPHARMACY STATE LICENSE
PANP000514OtherPHARMACY STATE LICENSE
NHNR1759OtherPHARMACY STATE LICENSE
AROS01489OtherPHARMACY STATE LICENSE
KY1827104OtherNCPDP
WI2031-43OtherPHARMACY STATE LICENSE
SD400-2023OtherPHARMACY STATE LICENSE
ID55899MSOtherPHARMACY STATE LICENSE
WVMO0561421OtherPHARMACY STATE LICENSE
COOSP.0005286OtherPHARMACY STATE LICENSE
GAPHNR000170OtherPHARMACY STATE LICENSE
HIPMP-1640OtherPHARMACY STATE LICENSE
OH021545800OtherPHARMACY STATE LICENSE
VT036.0134300OtherPHARMACY STATE LICENSE
AL112709OtherPHARMACY STATE LICENSE
NC14131OtherPHARMACY STATE LICENSE
AK148351OtherPHARMACY STATE LICENSE
TX32200OtherPHARMACY STATE LICENSE
DCNRX1901654OtherPHARMACY STATE LICENSE