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PROVIDE RX OF GRAPEVINE
NPI 1326221268
Pharmacy - Long Term Care Pharmacy in Forney, TX

Active since December 14, 2007
771 E US HIGHWAY 80 STE 210, FORNEY, TX 75126(817) 310-5554(817) 310-0862 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Provide Rx Of Grapevine NPPES

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

PROVIDE RX OF GRAPEVINE (NPI 1326221268) is a healthcare organization registered as a long term care pharmacy in Forney, Texas and active in the NPI registry since December 2007. The organization lists Reef Gillum, President, as its authorized official.

NPPES Registry Identity

NPI1326221268
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NamePROVIDE RX OF GRAPEVINE
Location Address771 E US HIGHWAY 80 STE 210Forney, TX 75126-8699
Mailing AddressPo Box 2176Forney, TX 75126-2176 · (817) 310-5554 · Fax (817) 756-1101
Phone(817) 310-5554
Fax(817) 310-0862
Organization SubpartNo
Authorized OfficialReef GillumPresident · (817) 778-8777
Enumeration DateDecember 14, 2007
Last NPPES UpdateOctober 19, 2012
✔ NPI 1326221268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in TX · 25809
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
771 E US HIGHWAY 80 STE 210, Forney, TX 75126
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Other Names 1

Doing Business AsProvide Rx Of Grapevine

Other Identifiers 1

Other4546555Ncpdp Provider Identification Number

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 Provide Rx Of Grapevine's NPI number?

The NPI number for Provide Rx Of Grapevine is 1326221268. It was assigned to this organization in the NPPES registry on December 14, 2007.

Where is Provide Rx Of Grapevine located?

Provide Rx Of Grapevine is located at 771 E Us Highway 80 Ste 210, Forney, TX 75126. The listed phone number is (817) 310-5554.

What is Provide Rx Of Grapevine's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Provide Rx Of Grapevine was last updated on October 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.