Organization Active NPI

VI Wellness LLC

Doing business as Lone Star Compounding Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1568334035
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260302003654 TX Part B Supplier - Mass Immunization (Roster Biller Only) 4587146329 Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.