Individual provider Active NPI

Pollyanna Cove, R.PH.

  • Pharmacist
  • Potterville, MI
National Provider Identifier
1740877455
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302027703 Issued in MI
Practice address
121 E Lansing Rd
Potterville, MI 48876-9799
Phone
(517) 645-9800
Fax
(517) 645-0900
NPI assigned
Dec 29, 2020
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302027703 MI Primary

Addresses

Primary practice location

121 E Lansing Rd
Potterville, MI 48876-9799

Mailing address

121 E Lansing Rd
Potterville, MI 48876-9799
Phone (517) 645-9800

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302027703MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Pharmacy - Potterville LLC CurrentSince Mar 17, 2024 Accepting new patients
Central Pharmacy - Potterville LLC PastSince Jan 3, 2021 Accepting new patients

Locations

121 E Lansing Rd
Potterville, MI 48876
Phone (517) 645-9800

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1740877455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E LANSING RD",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488769799",
            "telephone_number": "517-645-9800",
            "fax_number": "517-645-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E LANSING RD",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488769799",
            "telephone_number": "517-645-9800",
            "fax_number": "517-645-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVE",
        "first_name": "POLLYANNA",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302027703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potterville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.