OrganizationActive
At-Home Pharmacy, Inc.
NPI 1104934967 · Specialty Pharmacy · Desoto, TX
Provider details
- NPI number
- 1104934967
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gary Hasty, Manager(214) 239-4020
- License
- 23351 (TX)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Suppliers
Suppliers
Suppliers
Practice location
1615 Osprey Dr Ste 100
Desoto, TX 75115-2427
Phone: (214) 239-4020
Fax: (214) 239-4021
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5047
Meridian, MS 39302-5047
Other names (DBA / former)
- Doing business as
- At Home Pharmacy Vital Care
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.