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MISSION TRAVIS MERCY
NPI 1679436703
Pharmacy - Clinic Pharmacy in Fort Worth, TX

Active since December 05, 2025CLIA 45D2048572 · Microscopy
775 WEST BOWIE ST, FORT WORTH, TX 76110(817) 840-3501 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mission Travis Mercy NPPES

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

MISSION TRAVIS MERCY (NPI 1679436703), doing business as Mercy Clinic Of Fort Worth, is a healthcare organization registered as a clinic pharmacy in Fort Worth, Texas and active in the NPI registry since December 2025. The organization holds a CLIA Microscopy certificate valid through June 30, 2027 and lists Celeste Coker, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1679436703
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameMISSION TRAVIS MERCY
Location Address775 WEST BOWIE STFort Worth, TX 76110
Mailing AddressPo Box 11557Fort Worth, TX 76110-0557
Phone(817) 840-3501
Organization SubpartYes
Authorized OfficialCeleste CokerPharmacist In Charge · (817) 840-3501
Enumeration DateDecember 5, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1679436703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

775 WEST BOWIE ST, Fort Worth, TX 76110
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Other Names 1

Doing Business AsMercy Clinic Of Fort Worth

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2048572

Mission Travis Mercy · Fort Worth, TX
Active · expires Jun 30, 2027
CLIA Number45D2048572
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorRebekah A. Naylor
Laboratory Phone(817) 840-3501
Laboratory LocationMission Travis Mercy775 West Bowie Street, Fort Worth, TX 76110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Mission Travis Mercy's NPI number?

The NPI number for Mission Travis Mercy is 1679436703. It was assigned to this organization in the NPPES registry on December 5, 2025. The provider is doing business as Mercy Clinic of Fort Worth.

Where is Mission Travis Mercy located?

Mission Travis Mercy is located at 775 West Bowie St, Fort Worth, TX 76110. The listed phone number is (817) 840-3501.

What is Mission Travis Mercy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Mission Travis Mercy hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2048572) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mission Travis Mercy was last updated on December 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.