Covenant Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

05087 Issued in MS

Legal business name

COVENANT PHARMACY LLC

Doing business as

Covenant Pharmacy LLC

Practice address

371A Highland Colony Pkwy
Ridgeland, MS 39157-6035

Phone

(601) 326-5760

Fax

(601) 326-5770

NPI assigned

Jul 20, 2005

Last updated

Feb 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Richard Whitwell, PHARMDNPI 1780901215

Title

Manager

Phone

(601) 326-5760

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• COVENANT PHARMACY LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William R. Whitwell Jr., PHARM.D.

  • Pharmacist
  • Ridgeland, MS
  • NPI 1780901215
  NPD Authorized official

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1851390892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371A HIGHLAND COLONY PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576035",
            "telephone_number": "601-326-5760",
            "fax_number": "601-326-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371A HIGHLAND COLONY PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576035",
            "telephone_number": "601-326-5760",
            "fax_number": "601-326-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "WHITWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-326-5760",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "05087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330627",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046319",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVENANT PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Costco Wholesale Corporation (Costco Pharmacy #1366)
• Brandi M Cotten
• Cameron Leigh Cotton
• Carl Randy Cotton, PH.D.
• Melissa Coulson, NP
• Stacie D Covington Bowman
• Trevene Raven Cowan, DC
• Charlotte Cox, OT
• Christopher Travis Cox
• Kieron Amiri Cox

• Long Term Care Pharmacy in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Long Term Care Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.