Individual provider Active NPI

Debbie Dawn Covalt

  • Pharmacist
  • Woodward, OK
National Provider Identifier
1184217663
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11218 Issued in OK
Practice address
1310 Main St
Woodward, OK 73801-3002
Phone
(580) 256-6600
Fax
(580) 254-2835
NPI assigned
Feb 16, 2021
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11218 OK Primary

Addresses

Primary practice location

1310 Main St
Woodward, OK 73801-3002

Mailing address

1310 Main St
Woodward, OK 73801-3002
Phone (580) 256-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11218OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Randys Pharmacy (LTC) CurrentSince Sep 4, 2022 Accepting new patients
Randys Pharmacy Inc PastSince Feb 21, 2021 Accepting new patients

Locations

1310 Main St
Woodward, OK 73801
Phone (580) 256-6600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1184217663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013002",
            "telephone_number": "580-256-6600",
            "fax_number": "580-254-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013002",
            "telephone_number": "580-256-6600",
            "fax_number": "580-254-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVALT",
        "first_name": "DEBBIE",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "11218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.