Organization Active NPI

VMC Grace LLC

Doing business as Gateway Pharmacy

  • Community/Retail Pharmacy
  • Crowley, TX
National Provider Identifier
1356795678
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30786 Issued in TX
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Maggie Mankarious, RPHNPI 1578151783
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2159724OtherPK
149489MedicaidTX

Other names 1

  • Gateway Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160802002965 TX Part B Supplier - Pharmacy 6709170566 Practice locations: Crowley, TX

National Provider Directory

National Provider Directory
Tax ID family
Gateway Pharmacy2 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

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.

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

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.

Verify at the official NPI Registry.