VMC GRACE LLC NPI 1356795678

NPI Information

  • NPI: 1356795678
  • Provider Name: VMC GRACE LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: GATEWAY PHARMACY
  • CLIA Number: 45D2173043
  • Address: 921 FM 1187 E STE A
    CROWLEY, TX
    ZIP 76036
  • Phone: (817) 297-2000

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NPI Details

VMC GRACE LLC is a community/retail pharmacy pharmacy in Crowley, TX. 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. VMC GRACE LLC NPI is 1356795678. The provider is registered as an organization entity type.
The provider Is Doing Business As Gateway Pharmacy.

The provider's business location address is:

921 FM 1187 E STE A
CROWLEY, TX
ZIP 76036-364
Phone: (817) 297-2000
Fax: (817) 297-2010

The provider's authorized official is Maggie Mankarious .
The authorized official title is Owner, Pic, Ao and has the following contact phone number (682) 234-2309.

The CLIA number assigned to this NPI record is 45D2173043 - pharmacy 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.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 4/22/2016 and was last updated on 7/19/2018.

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 Pharmacy30786TEXASYes

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
1149489MEDICAIDTEXAS
22159724OTHERPK

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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