Active NPI
Vet Well RX
- Compounded Sterile Preparations Pharmacist
- Grapevine, TX
National Provider Identifier
1497585228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounded Sterile Preparations Pharmacist
- Legal business name
- VET WELL RX
- Practice address
- 2150 W Northwest Hwy Ste 118
Grapevine, TX 76051-6993 - Phone
- (682) 223-1044
- Fax
- (682) 223-1412
- NPI assigned
- Aug 6, 2024
- 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
- Haivan Immler
- Title
- Pharmacist in Charge
- Phone
- (682) 223-1044
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounded Sterile Preparations Pharmacist | 1835C0207X | Primary | ||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
2150 W Northwest Hwy Ste 118
Grapevine, TX 76051-6993
Mailing address
2150 W Northwest Hwy Ste 118
Grapevine, TX 76051-6993
Phone (682) 223-1044
Other names 1
- vet well rx
National Provider Directory
National Provider DirectoryLocations
2150 W Northwest Hwy
Ste 118
Grapevine, TX 76051
Phone (682) 223-1044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722902400000",
"number": "1497585228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 W NORTHWEST HWY STE 118",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760516993",
"telephone_number": "682-223-1044",
"fax_number": "682-223-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 W NORTHWEST HWY STE 118",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760516993",
"telephone_number": "682-223-1044",
"fax_number": "682-223-1412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VET WELL RX",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "IMMLER",
"authorized_official_first_name": "HAIVAN",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "682-223-1044"
},
"taxonomies": [
{
"code": "1835C0207X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist, Compounded Sterile Preparations",
"state": null,
"license": null,
"primary": true
},
{
"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": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "vet well rx",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.