Mira Vista Pharmacy PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26982 Issued in TX

Legal business name

MIRA VISTA PHARMACY PLLC

Doing business as

Mira Vista Apothecary

Practice address

7033 Bryant Irvin Rd
Fort Worth, TX 76132-4243

Phone

(817) 292-3800

Fax

(817) 292-3810

NPI assigned

Jul 1, 2010

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moni Sagoo

Title

Director of Pharmacy

Phone

(817) 292-3800

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• MIRA VISTA APOTHECARY Doing business as

Locations

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.

• Manmohan Singh Sagoo, R.PH

  • Compounded Sterile Preparations Pharmacist
  • Fort Worth, TX
  • NPI 1689595845
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1801107123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 BRYANT IRVIN RD STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324243",
            "telephone_number": "817-292-3800",
            "fax_number": "817-292-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 BRYANT IRVIN RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324243",
            "telephone_number": "817-292-3800",
            "fax_number": "817-292-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA VISTA PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SAGOO",
        "authorized_official_first_name": "MONI",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "817-292-3800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26982",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRA VISTA APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minyard Food Stores Inc. (Minyard Pharmacy #33)
• Meagan Christine Minzenmayer Proctor
• Tasaduq Hussain Mir, M.D.
• Mira Vista Chiropractic
• Mira Vista Enterprise, Inc. (1st Choice Home Health Agency)
• David G Miracle, MA, LPC-ASSOCIATE
• Antonio Miranda, PHD, RD, LD, CDCES
• Erin Miranda, LMSW
• Mario Miranda, DDS
• Regina C Miranda, DDS

• Community/Retail Pharmacy in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.