MARK A TACKETT


Address: 138 College Park Dr Ste 130, Weatherford, TX 76086-6372
Phone: 8173417046

MARK A TACKETT (NPI# 1538471776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538471776
Entity Type Organization
Organization Name MARK A TACKETT
Other Organization Name TACKETT PHARMACY AND NUTRITION CENTER
Practice Address 138 College Park Dr Ste 130
Weatherford
TX 76086-6372
Practice Telephone 8173417046
Practice Fax Number 8173417380
Mailing Telephone 8173417046
Mailing Fax Number 8173417380
Enumeration Date 2010-07-03
Last Update Date 2016-06-09
Authorized Official Name TARA PENNY (PIC)
Authorized Official Telephone 8173417046
Authorized Official Credential PHARM D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
27110 TX Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2125348 01
TX 148282 05

Other Provider/Organization Names

Other Name Type Code
TACKETT PHARMACY AND NUTRITION CENTER Doing Business As Name - Organization

Office Location

Street Address 138 COLLEGE PARK DR STE 130
City WEATHERFORD
State TX
Zip Code 76086-6372

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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447876172 Horizon Pharmacy, LLC Pharmacy 1909 Martin Dr, Weatherford, TX 76086-6702 2020-06-18
1710381793 Thomas Drug Inc Pharmacy 3741 Legacy, Weatherford, OK 73096-9746 2014-10-20
1174622005 Pharmprorx LLC Pharmacy 1105 Santa Fe Dr, Ste 107, Weatherford, TX 76086-5811 2006-09-21

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1639779366 Mens African Investors Pharmacy 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 2020-10-30
1861091977 A Medizona Pharmacy Pharmacy 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 2020-10-20
1952900078 Nudo Pharmacy LLC Pharmacy 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 2020-10-20
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Competitor

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City WEATHERFORD
Zip Code 76086

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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