Covenant Health Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009995 Issued in GA

Legal business name

COVENANT HEALTH INC

Doing business as

Covenant Health Pharmacy

Practice address

1795 Presidential Cir
Snellville, GA 30078-5644

Phone

(404) 993-3381

Fax

(470) 545-2234

NPI assigned

Mar 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Joy Ayodele Tekobo, PHARMD

Title

Ceo

Phone

(678) 585-4962

Specialties & licenses 1

Addresses

Other names 1

• Covenant Health Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Covenant Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Covenant Health Inc

  dba Covenant Health Pharmacy

  • Long Term Care Pharmacy
  • Snellville, GA
  • NPI 1003702424
  NPD tax ID

Locations

Practitioners 1

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

• Ayodele Morenike Tekobo

  • Pharmacist
  • Snellville, GA
  • NPI 1326163676
  NPD

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1861818858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 PRESIDENTIAL CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785644",
            "telephone_number": "404-993-3381",
            "fax_number": "470-545-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 PRESIDENTIAL CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785644",
            "telephone_number": "404-993-3381",
            "fax_number": "470-545-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "TEKOBO",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "AYODELE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-585-4962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Covenant Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breanne Cotton, RBT
• Counseling & Psychiatry of Gwinnett, LLC
• Mary Claire Courtney, M.S., CF-SLP
• Covenant Counseling Insitute (Covenant Counseling & Family Resource Center)
• Covenant Health Inc (Covenant Health Pharmacy)
• Constance Coleman Cowden, A.P.R.N.- ADULT NURS
• Flora Denise Cox, M.D.
• Mary T Cox, MD
• Veveca Cox
• Dominique' Juanita Crain, MD

• Community/Retail Pharmacy in Snellville, GA
• Providers in Snellville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.