OrganizationActive
Ivmedco, Inc
NPI 1023193158 · Home Infusion Therapy Pharmacy · Fort Worth, TX
Ivmedco, Inc is a Home Infusion Therapy Pharmacy organization in Fort Worth, TX (NPI 1023193158).
Provider details
- NPI number
- 1023193158
- Entity type
- Organization
- Primary specialty
- Home Infusion Therapy PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Manohar Miryala, Officer(817) 921-1957
- License
- 13332 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3646 Granbury Rd, Ste 102
Fort Worth, TX 76109-3717
Phone: (817) 336-4863
Fax: (817) 921-1957
Street-level locationGet directions
Mailing address
3646 Granbury Rd, Ste 102
Fort Worth, TX 76109-3717
Other names (DBA / former)
- Other name
- Ivmedco Fort Worth
- Other name
- Ivmedco Fort Worth
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2021-06-14
- Certified
- 2021-06-14
Frequently asked questions
- What is Ivmedco, Inc's NPI number?
- Ivmedco, Inc's National Provider Identifier (NPI) is 1023193158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ivmedco, Inc?
- Ivmedco, Inc is classified in the NPPES registry as Home Infusion Therapy Pharmacy (Suppliers).
- Where is Ivmedco, Inc located?
- Ivmedco, Inc's practice location on file with NPPES is 3646 Granbury Rd, Ste 102, Fort Worth, TX 76109-3717.
- What is Ivmedco, Inc's phone number?
- The practice phone number listed in the NPPES registry for Ivmedco, Inc is (817) 336-4863.
- Who is the authorized official for Ivmedco, Inc?
- The authorized official listed on Ivmedco, Inc's NPPES record is Manohar Miryala, Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ivmedco, Inc's NPI active?
- Yes — Ivmedco, Inc's NPI (1023193158) is active in the NPPES registry as of the last update on 2021-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.