Active NPI
Amy Bettle Covin, RPH
- Pharmacist
- Atlanta, GA
National Provider Identifier
1841896685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 017562
- Practice address
- 2555 Bolton Rd NW
Atlanta, GA 30318-1322 - Phone
- (404) 355-8855
- NPI assigned
- Dec 8, 2020
- Last updated
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 017562 | GA | Primary |
Addresses
Primary practice location
2555 Bolton Rd NW
Atlanta, GA 30318-1322
Mailing address
2555 Bolton Rd NW
Atlanta, GA 30318-1322
Phone (404) 355-8855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326141151 | Other | GA | PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Amy.bettle@cvshealth.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 017562 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients |
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": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1841896685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 BOLTON RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303181322",
"telephone_number": "404-355-8855",
"fax_number": "404-350-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 BOLTON RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303181322",
"telephone_number": "404-355-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVIN",
"first_name": "AMY",
"middle_name": "BETTLE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "017562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "1326141151",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Amy.bettle@cvshealth.com",
"affiliation": "N",
"endpointDescription": "Professional email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Home addresses",
"address_1": "203 Hurt St NE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303072536",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.