NPI age
15 years
Enumerated 2010-07-27
● Active Type 2 · Organization
Providerx Of Waco Llc
Providerx Of Waco Llc is 1 of 589 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Vp Of Operations
Last NPPES update
2012-12-19
Source: monthly bulk 2026-05
How this organization compares
Across 589 active pharmacy providers in Texas.
NPI age
15 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1404 S New Rd Ste 200
Waco, TX 767111335
Mailing address
Po Box 2176
Forney, TX 751262176
Authorized official
Tracy Wilson
Vp Of Operations
📞 8173105554
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...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 5900572 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ProvideRx of Waco
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.