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NPI 1568609949ActiveOrganization· Pharmacy, Compounding Pharmacy· Fort Worth, TX
Pharmacy, Compounding Pharmacy in Fort Worth, Texas, registered in NPPES in January 2009. The authorized official on file is Robert Steven Waddy, RPH, Vice-President.
Overview
| NPI | 1568609949 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2009 |
| Last updated in NPPES | Dec 16, 2024 |
| Certified by provider | Dec 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | 26251 | TX |
| Pharmacy | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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