Pharmacies - Enroll Your Pharmacy

What to Expect
As part of Organization Registration, you will be asked for the following information:
 
ImmTrac2 Participating Organizations
If your organization participates with the Texas Immunization Registry (ImmTrac2), you will need the ImmTrac2 Organization Code.
 
TVFC Provider Organizations
If your organization previously enrolled with the Texas Vaccines for Children and Adult Safety Net Program, you will need your TVFC/ASN PIN.
 
Information Need to Complete Registration
All organizations will need to provide the following information to complete the registration process.
  1. Organization Name
  2. Organization's Physical and Mailing Addresses
  3. Organization's Phone Number (main phone number)
  4. Organization's Fax Number
  5. Your Contact information: First Name, Last Name, Phone Number and a unique email address
  6. Organization Point of Contact: First Name, Last Name, Phone Number and a unique email address
  7. Primary Registry Point of Contact: First Name, Last Name, Phone Number and a unique email address
  8. Responsible Medical Professional: First Name, Last Name, Phone Number and a unique email address, Texas Medical License, License Type, Individual National Provider Identification Number (NPI), Specialty, Medicaid ID.