NPIMap

Organization Active NPI

Matagorda Episcopal Health Outreach Program

Doing business as Vibrance Health Pharmacy

  • Community/Retail Pharmacy
  • Wharton, TX
National Provider Identifier
1063190312
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM
Doing business as
Vibrance Health Pharmacy
Practice address
10119 US 59 Hwy
Wharton, TX 77488-7224
Phone
(979) 559-4100
NPI assigned
Jul 7, 2023
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Kristi Barger, PHARMDNPI 1275218836
Title
Pharmacist
Phone
(979) 245-2082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

10119 US 59 Hwy
Wharton, TX 77488-7224

Mailing address

10119 US 59 Hwy
Wharton, TX 77488-7224
Phone (979) 559-4100

Other names 1

  • Vibrance Health Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Matagorda Episcopal Health Outreach Program Corporation12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1063190312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 US 59 HWY",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774887224",
            "telephone_number": "979-559-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 US 59 HWY",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774887224",
            "telephone_number": "979-559-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-09-13",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "BARGER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "979-245-2082",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrance Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vibrance Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wharton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.