Organization Active NPI

Vivmeds Pharmacy Corporation

  • Community/Retail Pharmacy
  • Denton, TX
National Provider Identifier
1245860535
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VIVMEDS PHARMACY CORPORATION
Practice address
3303 Unicorn Lake Blvd # 280
Denton, TX 76210-0160
Phone
(940) 226-4849
Fax
(940) 226-4859
NPI assigned
Jan 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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

Authorized official

Name
Dr. Maria T Dominic, PHARM. DNPI 1023493012
Title
Pharmacist
Phone
(940) 226-4849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

3303 Unicorn Lake Blvd # 280
Denton, TX 76210-0160

Mailing address

3303 Unicorn Lake Blvd # 280
Denton, TX 76210-0160
Phone (940) 226-4849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200618002503 TX Part B Supplier - Pharmacy 0941622070 Practice locations: Denton, TX

National Provider Directory

National Provider Directory
Tax ID family
Vivmeds Pharmacy Corporation2 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.

Locations

3303 Unicorn Lake Blvd
Ste 280
Denton, TX 76210
Phone (940) 226-4849

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579910400000",
    "number": "1245860535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 UNICORN LAKE BLVD # 280",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100160",
            "telephone_number": "940-226-4849",
            "fax_number": "940-226-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 UNICORN LAKE BLVD # 280",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100160",
            "telephone_number": "940-226-4849",
            "fax_number": "940-226-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVMEDS PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-25",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A",
        "authorized_official_last_name": "DOMINIC",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "940-226-4849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "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
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; 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.