VMLC Grace Hulen, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

VMLC GRACE HULEN, LLC

Doing business as

Gateway Pharmacy

Practice address

5505 S Hulen St
Fort Worth, TX 76132-2200

Phone

(817) 297-2000

NPI assigned

Aug 13, 2021

Last updated

Aug 13, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maggie MankariousNPI 1578151783

Title

Pharmacist

Phone

(682) 234-2309

Specialties & licenses 1

Addresses

Other names 1

• Gateway Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

VMLC Grace Hulen LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• VMLC Grace Hulen, LLC

  • Long Term Care Pharmacy
  • Fort Worth, TX
  • NPI 1598401622
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• VMLC Grace Hulen, LLC

  • Long Term Care Pharmacy
  • Fort Worth, TX
  • NPI 1598401622
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maggie Mankarious, PHARMACIST

  • Pharmacist
  • Crowley, TX
  • NPI 1578151783
  Authorized official Same address or phone
• Sarah Barnes, PHARM.D.

  • Pharmacist
  • Azle, TX
  • NPI 1922747260
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1033884770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322200",
            "telephone_number": "817-297-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322200",
            "telephone_number": "817-297-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMLC GRACE HULEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "MANKARIOUS",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "682-234-2309"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer D Vivas
• Vivicare Health Partners, LLC (Team Select Home Care)
• Saranya Viyapon, DMD
• Angela Vizcaino, DPT
• Vma Partners LLC
• VMLC Grace Hulen, LLC
• Alani Vo
• Andrew Vo, PT, DPT
• Christina Vo, PHARMD
• Nghia Vo, DPT

• Pharmacy in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.