Baylor Scott & White Health Enterprises, Inc.
Organization Active NPI Community/Retail Pharmacy · Georgetown, TX
NPI 1003984071 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1003984071
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 29826 (TX)
- Legal business name
- BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
- Practice address
- 4945 Williams Dr
Georgetown, TX 78633-2008 - Phone
- (512) 942-3302
- Fax
- (512) 942-3304
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Tammy Cohen
- Title
- President
- Phone
- (214) 865-3669
Other NPIs on the same Medicare enrollment 27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200819000208 | TX | Part B Supplier - Pharmacy | 8426182049 |
31 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: McKinney, TX; Salado, TX; Pflugerville, TX; Round Rock, TX; Temple, TX; Waco, TX; Waxahachie, TX; Irving, TX… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 29826 | TX | Yes |
Addresses
Primary practice location
4945 Williams Dr
Georgetown, TX 78633-2008
Mailing address
PO Box 847670
Dallas, TX 75284-5765
Phone (512) 942-3302
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2151712 | Other | PK | |
| 469765 | Medicaid | TX |
Other names
- Baylor Scott & White Pharmacy #202
Other providers in Georgetown, TX
- Carolyn Marie Bascon
- John Carlo Shun Base
- Karla Basulto
- David Baugh I
- Brenna Baxter
- Beacon Behavioral GTX LLC
- Bear'S Compounding Pharmacy LLC
- Bear'S Compounding Pharmacy LLC
- Beautiful Body Recovery
- Dulce Bebee
All providers in Georgetown, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.