MISSION TRAVIS MERCY NPI 1679436703

NPI Information

  • NPI: 1679436703
  • Provider Name: MISSION TRAVIS MERCY
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Address: 775 WEST BOWIE ST
    FORT WORTH, TX
    ZIP 76110
  • Phone: (817) 840-3501

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NPI Details

MISSION TRAVIS MERCY is a clinic pharmacy pharmacy in Fort Worth, TX. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. MISSION TRAVIS MERCY NPI is 1679436703. The provider is registered as an organization entity type.

The provider's business location address is:

775 WEST BOWIE ST
FORT WORTH, TX
ZIP 76110
Phone: (817) 840-3501

The provider's authorized official is Celeste Coker .
The authorized official title is Pharmacist In Charge and has the following contact phone number (817) 840-3501.

The enumeration date for this NPI number is 12/5/2025 and was last updated on 12/5/2025.

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
13336C0002XPharmacyClinic PharmacyYes

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: 11/21/2025

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