AGRACE LLC NPI 1639436561

NPI Information

  • NPI: 1639436561
  • Provider Name: AGRACE LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: AGRACE PHARMA
  • CLIA Number: 45D2212816
  • Address: 721 W TARRANT RD STE 110
    GRAND PRAIRIE, TX
    ZIP 75050
  • Phone: (833) 224-7223

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NPI Details

AGRACE LLC is a pharmacy in Grand Prairie, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. AGRACE LLC NPI is 1639436561. The provider is registered as an organization entity type.
The provider Is Doing Business As Agrace Pharma.

The provider's business location address is:

721 W TARRANT RD STE 110
GRAND PRAIRIE, TX
ZIP 75050-445
Phone: (833) 224-7223
Fax: (214) 412-2405

The provider's authorized official is Adiseshu Gelli .
The authorized official title is President and has the following contact phone number (833) 224-7223.

The CLIA number assigned to this NPI record is 45D2212816 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2012 and was last updated on 2/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy28456TEXASNo
23336C0004XPharmacyCompounding PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
4333600000XPharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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