Sovereign Covenant Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410348L Issued in PA

Legal business name

SOVEREIGN COVENANT PHARMACY LLC

Practice address

145 N Antrim Way
Greencastle, PA 17225-1403

Phone

(717) 597-2426

Fax

(717) 597-3705

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Wayne G Myers, RPHNPI 1326125857

Title

Owner

Phone

(717) 597-2426

Specialties & licenses 3

Addresses

Other names 1

• Carl's Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in PA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wayne G Myers, PHARM.D.

  • Pharmacist
  • Chambersburg, PA
  • NPI 1326125857
  NPD Authorized official
• Shane Edwin Clugston

  • Pharmacist
  • Greencastle, PA
  • NPI 1942096763
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1477556363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N ANTRIM WAY",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251403",
            "telephone_number": "717-597-2426",
            "fax_number": "717-597-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N ANTRIM WAY",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251403",
            "telephone_number": "717-597-2426",
            "fax_number": "717-597-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN COVENANT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-597-2426",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PP410348L",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP410348L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410348L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carl's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amie Lynn Shank
• Amanda Jo Shaw, MSW, LCSW
• Kayla Jace Sholes, PA-C
• Duane E. Sipes, M.D.
• Peter Sklavos
• Tammy Bondurant Steier
• John Calvin Strickler, PA
• Diane Renee Swan
• Timothy Daniel Thorne, OTR/L
• Joseph K Thornton, MD

• Community/Retail Pharmacy in Greencastle, PA
• Providers in Greencastle, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.