Active NPI
VI Wellness LLC
Doing business as Lone Star Compounding Pharmacy
- Community/Retail Pharmacy
- Fort Worth, TX
National Provider Identifier
1568334035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- VI WELLNESS LLC
- Doing business as
- Lone Star Compounding Pharmacy
- Practice address
- 8752 Medical City Way Ste 120
Fort Worth, TX 76177-2497 - Phone
- (682) 710-7777
- Fax
- (844) 328-4814
- NPI assigned
- Sep 23, 2025
- Last updated
- Nov 17, 2025
- 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
- Ashok Pothula, RPH
- Title
- Owner
- Phone
- (682) 710-7777
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
8752 Medical City Way Ste 120
Fort Worth, TX 76177-2497
Mailing address
8752 Medical City Way Ste 120
Fort Worth, TX 76177-2497
Phone (682) 710-7777
Other names 1
- LONE STAR COMPOUNDING 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 |
|---|---|---|---|---|
| O20260302003654 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 4587146329 | Practice locations: Fort Worth, TX |
National Provider Directory
National Provider DirectoryLocations
8752 Medical City Way
Ste 120
Fort Worth, TX 76177
Phone (682) 710-7777
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
- Fort Worth, TX
- NPI 1407458516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763337600000",
"number": "1568334035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8752 MEDICAL CITY WAY STE 120",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761772497",
"telephone_number": "682-710-7777",
"fax_number": "844-328-4814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8752 MEDICAL CITY WAY STE 120",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761772497",
"telephone_number": "682-710-7777",
"fax_number": "844-328-4814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VI WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-23",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A",
"authorized_official_last_name": "POTHULA",
"authorized_official_first_name": "ASHOK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "682-710-7777",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LONE STAR COMPOUNDING PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.