COVENANT HEALTHCARE OUTPATIENT PHARMACY (COVENANT MEDICAL CENTER INC) NPI 1730290750

Pharmacy (Community/Retail Pharmacy) in Saginaw, MI

NPI 1730290750 Organization Pharmacy Community/Retail Pharmacy

About COVENANT HEALTHCARE OUTPATIENT PHARMACY (COVENANT MEDICAL CENTER INC)

Covenant Healthcare Outpatient Pharmacy (covenant Medical Center Inc) is a provider established in Saginaw, Michigan specializing in pharmacy (community/retail pharmacy) . The NPI number of Covenant Healthcare Outpatient Pharmacy (covenant Medical Center Inc) is 1730290750 and was assigned on August 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 5301005282 (MI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Covenant Healthcare Outpatient Pharmacy. The authorized official of this NPI record is Terrence Lee Wernette (Director Of Pharmacy)

NPI

1730290750

Provider NameCOVENANT HEALTHCARE OUTPATIENT PHARMACY (COVENANT MEDICAL CENTER INC)
Provider Location Address700 COOPER AVE SAGINAW, MI 48602
Provider Mailing Address700 COOPER AVE SAGINAW, MI 48602
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCOVENANT HEALTHCARE OUTPATIENT PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date08-31-2006
Last Update Date12-09-2016


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.5301005282
License StateMI
Taxonomy DescriptionA 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.

Business Address

COVENANT HEALTHCARE OUTPATIENT PHARMACY
700 COOPER AVE
SAGINAW, MI
ZIP 48602
Phone: (989) 583-6484
Fax: (989) 583-6351

Get Directions


Mailing Address

COVENANT HEALTHCARE OUTPATIENT PHARMACY
700 COOPER AVE
SAGINAW, MI
ZIP 48602
Phone: (989) 583-6484



Authorized Official

Authorized Official Name TERRENCE LEE WERNETTE
Authorized Official TitleDIRECTOR OF PHARMACY
Authorized Official Phone(989) 583-4075

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
4104630MEDICAID (05)MI
=========MEDICARE UPIN (02)MI

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245213792MR. IAN RICHARD ALSGAARD APRN
Individual
Nurse Practitioner (Adult Health)700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6685
1417936410DR. JILL MICHELLE BOWERMAN D.O.
Individual
Anesthesiology700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6200
1679552640ADVANCED ANESTHESIA ASSOCIATES, PLLC
Organization
Anesthesiology700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6200
1568441558DR. CRAIG WILLIAM BOHNHOFF M.D.
Individual
Anesthesiology700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6200
1295714053DR. JOHN AMIR KELLOW M.D.
Individual
Anesthesiology700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6200
1053382580DR. JEFFREY SCOTT SMITH DO
Individual
Anesthesiology700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6200
1255429163DR. PAUL THILL PHARM.D.
Individual
Pharmacist (Pharmacotherapy)700 COOPER AVE 2ND FLOOR PHARMACY
SAGINAW, MI 48602
(989) 583-6512
1366527137 MANUEL M PEREA M.D.
Individual
Specialist700 COOPER AVE 900 BLDG
SAGINAW, MI 48602
(989) 583-4401
1043374606 LYNN ANN BARNHART CRNA
Individual
Nurse Anesthetist, Certified Registered700 COOPER AVE
SAGINAW, MI 48602
(989) 258-1003
1013071372 WILLIAM J ZWIERS CRNA
Individual
Nurse Anesthetist, Certified Registered700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6200
1649431180MS. ELAINE S VANBUREN LMSW
Individual
Social Worker (Clinical)700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6413
1184810681DR. SYED KHURSHEED ALAM MD
Individual
Anesthesiology700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6200
1003005224VISITING NURSE ASSOCIATION OF SAGINAW
Organization
Durable Medical Equipment & Medical Supplies700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6017
1093743064 BRENTON BARNHART RN, MSN, CRNA
Individual
Nurse Anesthetist, Certified Registered700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6200
1659795516SUPERIOR INFECTIOUS DISEASE CARE
Organization
Internal Medicine (Infectious Disease)700 COOPER AVE
SAGINAW, MI 48602
(989) 583-0000
1689709404 CATHERINE MCDONELL CRNA
Individual
Nurse Anesthetist, Certified Registered700 COOPER AVE
SAGINAW, MI 48602
(989) 583-6237
1043688815MRS. TRARI BOWDISH CRNA
Individual
Nurse Anesthetist, Certified Registered700 COOPER AVE
SAGINAW, MI 48602
(989) 583-0000
1578594487DR. MITCHELL S. FARBER M.D.
Individual
Surgery (Surgical Critical Care)700 COOPER AVE SUITE B
SAGINAW, MI 48602
(989) 583-4337
1740768787 SHANNON LEITERMANN
Individual
Occupational Therapist700 COOPER AVE
SAGINAW, MI 48602
(989) 583-0000
1346720232 ERIN CASPERS
Individual
Occupational Therapist700 COOPER AVE
SAGINAW, MI 48602
(989) 583-0000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.