IVMEDCO FORT WORTH
NPI 1023193158
Pharmacy - Home Infusion Therapy Pharmacy in Fort Worth, TX

Q: What is Ivmedco, Inc's NPI number?

The NPI number for Ivmedco, Inc is 1023193158. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is also known as Ivmedco Fort Worth.

Q: What is Ivmedco, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

Q: When was this NPI record last updated?

The NPPES record for Ivmedco, Inc was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 26, 2006

3646 GRANBURY RD, STE 102, FORT WORTH, TX 76109(817) 336-4863(817) 921-1957 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ivmedco Fort Worth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVMEDCO FORT WORTH (NPI 1023193158) is a healthcare organization registered as a home infusion therapy pharmacy in Fort Worth, Texas and active in the NPI registry since October 2006. The organization lists Manohar Miryala, Officer, as its authorized official.

NPPES Registry Identity

NPI1023193158

Entity TypeOrganization

Primary Taxonomy3336H0001X

Legal Business NameIVMEDCO, INC

Location Address3646 GRANBURY RD, STE 102Fort Worth, TX 76109-3717

Mailing Address3646 Granbury Rd, Ste 102Fort Worth, TX 76109-3717 · (817) 336-4863 · Fax (817) 921-1957

Phone(817) 336-4863

Fax(817) 921-1957

Organization SubpartNo

Authorized OfficialManohar MiryalaOfficer · (817) 921-1957

Enumeration DateOctober 26, 2006

Last NPPES UpdateJune 14, 2021

NPPES CertifiedJune 14, 2021

✔ NPI 1023193158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers

Taxonomy Code3336H0001X

License✔ Licensed in TX · 13332

Definition

Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

3646 GRANBURY RD, STE 102, Fort Worth, TX 76109

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Other Names 1

Other NameIvmedco Fort Worth

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivmedco, Inc's NPI number?

The NPI number for Ivmedco, Inc is 1023193158. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is also known as Ivmedco Fort Worth.

Where is Ivmedco, Inc located?

Ivmedco, Inc is located at 3646 Granbury Rd, Ste 102, Fort Worth, TX 76109. The listed phone number is (817) 336-4863.

What is Ivmedco, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

When was this NPI record last updated?

The NPPES record for Ivmedco, Inc was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.