NPI age
18 years
Enumerated 2007-12-14
● Active Type 2 · Organization
Provide Rx Of Grapevine
Provide Rx Of Grapevine is 1 of 589 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gillum
President
Last NPPES update
2012-10-19
Source: monthly bulk 2026-05
How this organization compares
Across 589 active pharmacy providers in Texas.
NPI age
18 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
771 E Us Highway 80 Ste 210
Forney, TX 751268699
Mailing address
Po Box 2176
Forney, TX 751262176
Authorized official
Reef Gillum
President
📞 8177788777
Specialties
-
Pharmacy PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 4546555 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
PROVIDE RX OF GRAPEVINE
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.