Organization Active NPI

Vet Well RX

  • Compounded Sterile Preparations Pharmacist
  • Grapevine, TX
National Provider Identifier
1497585228
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounded Sterile Preparations PharmacistTaxonomy code 1835C0207X
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

Updated by the provider on Aug 6, 2024

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)CodeLicenseStatePrimary
Compounded Sterile Preparations PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.