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COVENANT MEDICAL CENTER
NPI 1689112930
Pharmacy - Community/Retail Pharmacy in Lubbock, TX

Active since February 07, 2017
3615 19TH ST FL 1, LUBBOCK, TX 79410(806) 725-7979(806) 723-7979 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2025, Oct 1, 2020, Mar 5, 2019 and 1 more (4 updates tracked since 2017).

About Covenant Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT MEDICAL CENTER (NPI 1689112930), doing business as Covenant Health Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Lubbock, Texas and active in the NPI registry since February 2017. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1689112930
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOVENANT MEDICAL CENTER
Location Address3615 19TH ST FL 1Lubbock, TX 79410-1203
Mailing AddressPo Box 677044Dallas, TX 75267-7044 · (806) 725-7979 · Fax (806) 723-7979
Phone(806) 725-7979
Fax(806) 723-7979
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateFebruary 7, 2017
Last NPPES UpdateMay 9, 20254 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1689112930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
3615 19TH ST FL 1, Lubbock, TX 79410
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Other Names 1

Doing Business AsCovenant Health Pharmacy

Other Identifiers 1

Other2167733Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Covenant Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20191125002875DME · PharmacyDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELISE MICHELLA JOHNSON PHARM D.
Pharmacist
3615 19TH ST FL 1
LUBBOCK, TX 79410
Lubbock County (806) 725-7979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Medical Center's NPI number?

The NPI number for Covenant Medical Center is 1689112930. It was assigned to this organization in the NPPES registry on February 7, 2017. The provider is doing business as Covenant Health Pharmacy.

Where is Covenant Medical Center located?

Covenant Medical Center is located at 3615 19th St Fl 1, Lubbock, TX 79410. The listed phone number is (806) 725-7979.

What is Covenant Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Covenant Medical Center enrolled in Medicare?

Yes. Covenant Medical Center is registered in the Medicare PECOS enrollment system.

When is Covenant Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Texas, Pharmacy) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Covenant Medical Center accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Arkansas Blue Cross and Blue Shield and 42 other insurers list Covenant Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Covenant Medical Center was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.