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TRAIL CREEK PHARMACY
NPI 1699950972
Pharmacy - Community/Retail Pharmacy in Bedford, TX

Active since January 04, 2008
2700 TIBBETS DR, STE 200, BEDFORD, TX 76022(817) 684-9464(817) 684-9287 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Trail Creek Pharmacy NPPES

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

TRAIL CREEK PHARMACY (NPI 1699950972) is a healthcare organization registered as a community/retail pharmacy in Bedford, Texas and active in the NPI registry since January 2008. The organization lists Rob Zachariah, Partner, as its authorized official.

NPPES Registry Identity

NPI1699950972
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOVENANT PHARMACY LLC
Location Address2700 TIBBETS DR, STE 200Bedford, TX 76022-5928
Mailing Address2700 Tibbets Dr, Ste 200Bedford, TX 76022-5928 · (817) 684-9464 · Fax (817) 684-9287
Phone(817) 684-9464
Fax(817) 684-9287
Organization SubpartNo
Authorized OfficialRob ZachariahPartner · (817) 684-9464
Enumeration DateJanuary 4, 2008
Last NPPES UpdateJune 11, 2015
✔ NPI 1699950972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 28347
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
2700 TIBBETS DR, Bedford, TX 76022
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Other Names 1

Doing Business AsTrail Creek Pharmacy

Other Identifiers 2

Medicaid146739TX
Other2139586Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trail Creek Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 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 IDO20211005001783Non-DME Part B · Independent Clinical LaboratoryDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
41 services41 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
41 services41 patients

Other Providers at the Same Location NPPES 12

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

DR. ELIZABETH MANI JOHN MD
Psychiatry & Neurology (Psychiatry)
2700 TIBBETS DR, #408
BEDFORD, TX 76022
Tarrant County (817) 545-8895
DR. MICHAEL H. BROPHY MD
Psychiatry & Neurology (Psychiatry)
2700 TIBBETS DR, SUITE 404
BEDFORD, TX 76022
Tarrant County (817) 283-6300
HEB EMERGICARE PA
Emergency Medicine
2700 TIBBETS DR, SUITE #210
BEDFORD, TX 76022
Tarrant County (817) 354-5600
MRS. JESSICA RENEE CLEMONS NP
Nurse Practitioner (Psychiatric/Mental Health)
2700 TIBBETS DR, STE 500
BEDFORD, TX 76022
Tarrant County (817) 545-9100
MISS JAYMI DANEILL PALMER LCSW
Social Worker (Clinical)
2700 TIBBETS DR, SUITE 502
BEDFORD, TX 76022
Tarrant County (817) 571-2899
MS. FRANKIE LYNN BURGET OTR,LMT/MI CNDT
Occupational Therapist
2700 TIBBETS DR, #402
BEDFORD, TX 76022
Tarrant County (817) 571-8135
CHERYL L BOWIE LCSW
Counselor (Mental Health)
2700 TIBBETS DR, SUITE 408
BEDFORD, TX 76022
Tarrant County (817) 545-8895
MS. LYNDA JEANETTE HAGEN PMHNP, FNP
Nurse Practitioner (Psychiatric/Mental Health)
2700 TIBBETS DR, SUITE 500
BEDFORD, TX 76022
Tarrant County (817) 545-9100

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 Pharmacy LLC's NPI number?

The NPI number for Covenant Pharmacy LLC is 1699950972. It was assigned to this organization in the NPPES registry on January 4, 2008. The provider is doing business as Trail Creek Pharmacy.

Where is Covenant Pharmacy LLC located?

Covenant Pharmacy LLC is located at 2700 Tibbets Dr Ste 200, Bedford, TX 76022. The listed phone number is (817) 684-9464.

What is Covenant Pharmacy LLC's specialty?

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

Is Covenant Pharmacy LLC enrolled in Medicare?

Yes. Covenant Pharmacy LLC is registered in the Medicare PECOS enrollment system.

When is Covenant Pharmacy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Independent Clinical Laboratory) is due for revalidation by October 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 Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 42 other insurers list Covenant Pharmacy LLC 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 Pharmacy LLC was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.