OrganizationActive
Tackett Pharmacy
NPI 1114053931 · Pharmacist · Willow Park, TX
Tackett Pharmacy is a Pharmacist organization in Willow Park, TX (NPI 1114053931).
Provider details
- NPI number
- 1114053931
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Mark Tackett, Pharmacist(817) 441-7046
- License
- 06761 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(89/100 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
132 El Chico Trl
Willow Park, TX 76087-8865
Phone: (817) 441-7046
Fax: (817) 441-5731
Street-level locationGet directions
Mailing address
132 El Chico Trl
Willow Park, TX 76087-8865
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Tackett Pharmacy's NPI number?
- Tackett Pharmacy's National Provider Identifier (NPI) is 1114053931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tackett Pharmacy?
- Tackett Pharmacy is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Tackett Pharmacy located?
- Tackett Pharmacy's practice location on file with NPPES is 132 El Chico Trl, Willow Park, TX 76087-8865.
- What is Tackett Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Tackett Pharmacy is (817) 441-7046.
- Who is the authorized official for Tackett Pharmacy?
- The authorized official listed on Tackett Pharmacy's NPPES record is Mark Tackett, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tackett Pharmacy's NPI active?
- Yes — Tackett Pharmacy's NPI (1114053931) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.