COVENANT MEDICAL CENTER INC NPI 1922045632

NPI Information

  • NPI: 1922045632
  • Provider Name: COVENANT MEDICAL CENTER INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MERCYONE JESUP PHARMACY
  • CLIA Number: 16D0692012
  • Address: 1094 220TH ST
    JESUP, IA
    ZIP 50648
  • Phone: (319) 827-6889

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NPI Details

COVENANT MEDICAL CENTER INC is a community/retail pharmacy pharmacy in Jesup, IA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. COVENANT MEDICAL CENTER INC NPI is 1922045632. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercyone Jesup Pharmacy.

The provider's business location address is:

1094 220TH ST
JESUP, IA
ZIP 50648-400
Phone: (319) 827-6889
Fax: (319) 827-2324

The provider's authorized official is Timothy Huber .
The authorized official title is Controller and has the following contact phone number (319) 272-7607.

The CLIA number assigned to this NPI record is 16D0692012 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 6/1/2006 and was last updated on 10/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy432IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10126862MEDICAIDIOWA
22130097OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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