Victoria Gillen

Primary specialty

PharmacistTaxonomy code 183500000X

License

62867 Issued in TX

Practice address

3500 Fort Worth Hwy
Hudson Oaks, TX 76087-8781

Phone

(817) 441-7046

Fax

(817) 441-5731

NPI assigned

May 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Victoria Tackett Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1295356723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 FORT WORTH HWY",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760878781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 FORT WORTH HWY",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760878781",
            "telephone_number": "817-441-7046",
            "fax_number": "817-441-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "62867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "3500 Fort Worth Hwy",
            "city": "Hudson Oaks",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760878781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "TACKETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morgan Danagher
• Dentists of Hudson Oaks and Orthodontics, PC (Dentists of Hudson Oaks and Orthodontics)
• Geraldine M Disnard, MSN MPH RNC PMHNP
• Roland Efa, PHARMD
• Alexandra Emma Farmer
• Edward S. Gordon, M.D.
• Jamie Guerrero, PHARM. D.
• H-E-B, LP (HEB Pharmacy #752)
• Alan R. Hall, M.D.
• Lori Jane Hanson, RPH

• Pharmacist in Hudson Oaks, TX
• Providers in Hudson Oaks, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.