Mark A Tackett
Mark A Tackett is a healthcare organization registered as Community/Retail Pharmacy in Weatherford, TX, holding Type 2 (organization) NPI 1538471776 since 2010. The authorized official on file is Tara Penny, Pic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1538471776 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mark A Tackett |
| Other name | <Unavail> |
| Practice address | 138 COLLEGE PARK DR STE 130, Weatherford, TX, 76086 |
| Phone | 8173417046 |
| Fax | 8173417380 |
| Enumeration date | 2010-07-03 |
| Last updated in NPPES | 2016-06-09 |
Authorized official
| Name | Tara Penny |
|---|---|
| Title | Pic |
| Phone | 8173417046 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 27110 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148282 | Medicaid | TX | — |
| 2125348 | Other | — | PK |
Copy-ready billing details
Provider: Mark A Tackett NPI: 1538471776 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 138 COLLEGE PARK DR STE 130, Weatherford, TX, 76086
Verify this record
Cross-check NPI 1538471776 against the authoritative CMS record: view Mark A Tackett on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Mark A Tackett located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-06-09.