Mission Travis Mercy
NPI 1679436703ActiveOrganization· Pharmacy, Clinic Pharmacy· Fort Worth, TX
Pharmacy, Clinic Pharmacy in Fort Worth, Texas, registered in NPPES in December 2025, part of Mission Travis Mercy. The authorized official on file is Celeste Coker, PHARM.D., Pharmacist In Charge.
Overview
| NPI | 1679436703 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mission Travis Mercy |
| NPI issued | Dec 5, 2025 |
| Last updated in NPPES | Dec 5, 2025 |
| Certified by provider | Nov 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Clinic Pharmacy Primary | 3336C0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Pharmacy, Clinic Pharmacy providers in Fort Worth
- 1396254553
- 1780920884