OrganizationActive
Provide Rx of Grapevine
NPI 1326221268 · Long Term Care Pharmacy · Forney, TX
Provider details
- NPI number
- 1326221268
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Reef Gillum, President(817) 778-8777
- License
- 25809 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
771 E US Highway 80 Ste 210
Forney, TX 75126-8699
Phone: (817) 310-5554
Fax: (817) 310-0862
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2176
Forney, TX 75126-2176
Other names (DBA / former)
- Doing business as
- Provide Rx of Grapevine
Registry dates
- Enumerated
- 2007-12-14
- Last updated
- 2012-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.