Active NPI
VMC Grace LLC
Doing business as Gateway Pharmacy
- Community/Retail Pharmacy
- Crowley, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 30786
- Legal business name
- VMC GRACE LLC
- Doing business as
- Gateway Pharmacy
- Practice address
- 921 FM 1187 E Ste a
Crowley, TX 76036-4364 - Phone
- (817) 297-2000
- Fax
- (817) 297-2010
- NPI assigned
- Apr 22, 2016
- Last updated
- Sep 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maggie Mankarious, RPH
- Title
- Owner, Pic, Ao
- Phone
- (682) 234-2309
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 30786 | TX | Primary |
Addresses
Primary practice location
921 FM 1187 E Ste a
Crowley, TX 76036-4364
Mailing address
921 FM 1187 E Ste a
Crowley, TX 76036-4364
Phone (817) 297-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159724 | Other | PK | |
| 149489 | Medicaid | TX |
Other names 1
- Gateway Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160802002965 | TX | Part B Supplier - Pharmacy | 6709170566 | Practice locations: Crowley, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Gateway Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
921 FM 1187 E
Ste A
Crowley, TX 76036
Phone (817) 297-2000
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.
-
- Pharmacist
- Crowley, TX
- NPI 1578151783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1356795678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 FM 1187 E STE A",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760364364",
"telephone_number": "817-297-2000",
"fax_number": "817-297-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 FM 1187 E STE A",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760364364",
"telephone_number": "817-297-2000",
"fax_number": "817-297-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VMC GRACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-22",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "MANKARIOUS",
"authorized_official_first_name": "MAGGIE",
"authorized_official_title_or_position": "OWNER, PIC, AO",
"authorized_official_telephone_number": "682-234-2309",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "30786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2159724",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149489",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gateway Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crowley, TX
- Debora Utsey, LPC
- Carolina Utz, LMFT
- Valuing Other Lives Inc
- William Carl Van Horn Jr.
- Cheli Vincent, LMSW
- VMC Grace LLC (Gateway Pharmacy LTC)
- VMC Grace LLC (Gateway Health Solutions)
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-3631)
- Wal-Mart Stores Texas LP (Wal-Mart Vision Center 30-3631)
- Walgreen Co (Walgreens #09023)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.