Organization · Type 2 NPI

Covenant Medical Center

Community/Retail Pharmacy · Lubbock, TX

NPI number 1689112930 Active

Practice location

3615 19th St Fl 1
Lubbock, TX 79410-1203

Call (806) 725-7979 Map

Fax (806) 723-7979

Mailing address

PO Box 677044
Dallas, TX 75267-7044

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 …

Another provider at this address

Elise Michella Johnson, PHARM D.Pharmacist Lubbock, TX NPI 1467712026

Other community/retail pharmacy providers in Lubbock

See all in Lubbock →

NPI record

NPI: 1689112930
Entity type: Organization (Type 2)
Issued: Feb 7, 2017
Last updated: May 9, 2025
Status: Active

Other names

<unavail>
Covenant Health Pharmacy · doing business as
Covenant Health Pharmacy · doing business as

Authorized official

Donald W Anderson
Assistant Secretary of Enrollments
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689112930

Covenant Medical Center's National Provider Identifier is 1689112930, issued on Feb 7, 2017. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lubbock, TX. The record was last updated on May 9, 2025.