Village Lane Apothecary

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

VILLAGE LANE APOTHECARY

Practice address

60 Village LN
Suite 130
Colleyville, TX 76034

Phone

(817) 717-2000

Fax

(817) 717-8424

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Lesli Dru Holt, RPH

Title

Pic

Phone

(817) 717-2000

Specialties & licenses 1

Addresses

Tax ID family

Village Lane Apothecary2 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.

• Village Lane Apothecary, L.L.C.

  • Compounding Pharmacy
  • Colleyville, TX
  • NPI 1528431418
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1700255486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 VILLAGE LN",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "817-717-2000",
            "fax_number": "817-717-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 VILLAGE LN",
            "address_2": "SUITE 130",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "817-717-2000",
            "fax_number": "817-717-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE LANE APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "LESLI",
        "authorized_official_middle_name": "DRU",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "817-717-2000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Melinn Veach
• Ruth Rachel Vendsel, LPC
• Jon P Verhalen, MD
• Amanda D Vick, P.T.
• Kelsey Vick, LPC
• Village Lane Apothecary, L.L.C.
• Mariaa Annette Villarreal, MS, LPC
• John M Vinings, D.D.S.
• Vitology Health Clinic, PLLC
• Nikki Vu

• Compounding Pharmacy in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.