TACKETT PHARMACY
NPI 1114053931
Pharmacist in Willow Park, TX

Active since February 26, 2007
132 EL CHICO TRL, WILLOW PARK, TX 76087(817) 441-7046(817) 441-5731 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tackett Pharmacy NPPES

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

TACKETT PHARMACY (NPI 1114053931) is a healthcare organization registered as a pharmacist in Willow Park, Texas and active in the NPI registry since February 2007. The organization lists Mark Tackett, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1114053931
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameTACKETT PHARMACY
Location Address132 EL CHICO TRLWillow Park, TX 76087-8865
Mailing Address132 El Chico TrlWillow Park, TX 76087-8865 · (817) 441-7046 · Fax (817) 441-5731
Fax(817) 441-5731
Organization SubpartNo
Authorized OfficialMark TackettPharmacist · (817) 441-7046
Enumeration DateFebruary 26, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1114053931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 06761
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

132 EL CHICO TRL, Willow Park, TX 76087

Other Identifiers 1

Medicaid142289TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
132 EL CHICO TRL
WILLOW PARK, TX 76087
Internal Medicine
132 EL CHICO TRL
WILLOW PARK, TX 76087

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 Tackett Pharmacy's NPI number?

The NPI number for Tackett Pharmacy is 1114053931. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Tackett Pharmacy located?

Tackett Pharmacy is located at 132 El Chico Trl, Willow Park, TX 76087. The listed phone number is (817) 441-7046.

What is Tackett Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Tackett Pharmacy was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.