Healthcare Provider Details

I. General information

NPI: 1205035011
Provider Name (Legal Business Name): COVERMYMEDS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 S 107TH AVE STE 101
TOLLESON AZ
85353-9402
US

IV. Provider business mailing address

495 S 107TH AVE STE 101
TOLLESON AZ
85353-9402
US

V. Phone/Fax

Practice location:
  • Phone: 480-663-4086
  • Fax: 480-663-4991
Mailing address:
  • Phone: 480-663-4086
  • Fax: 480-663-4991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRIAN RICHARD
Title or Position: VP & TREASURER; MANAGER
Credential:
Phone: 513-465-4992