NPIMap

Organization Active NPI

Baylor Univ Health Center Pharmacy

Doing business as Baylor University HLTH Ctr Phy

  • Community/Retail Pharmacy
  • Waco, TX
National Provider Identifier
1073617593
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01423 Issued in TX
Legal business name
BAYLOR UNIV HEALTH CENTER PHARMACY
Doing business as
Baylor University HLTH Ctr Phy
Practice address
209 Speight Ave
Ste 214
Waco, TX 76706-1507
Phone
(254) 710-4991
Fax
(254) 710-3620
NPI assigned
Sep 13, 2006
Last updated
Aug 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pam Kilgore, RPH
Title
Pic
Phone
(254) 710-4268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 01423 TX Primary

Addresses

Primary practice location

209 Speight Ave
Ste 214
Waco, TX 76706-1507

Mailing address

209 Speight Ave
Ste 214
Waco, TX 76706-1507
Phone (254) 710-4268

Other identifiers 1

IdentifierTypeStateIssuer
4543535OtherOTHER ID NUMBER

Other names 1

  • BAYLOR UNIVERSITY HLTH CTR PHY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baylor University5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

209 Speight Ave
Ste 214
Waco, TX 76706
Phone (254) 710-4991

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1073617593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SPEIGHT AVE",
            "address_2": "STE 214",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767061507",
            "telephone_number": "254-710-4268",
            "fax_number": "254-710-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SPEIGHT AVE",
            "address_2": "STE 214",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767061507",
            "telephone_number": "254-710-4991",
            "fax_number": "254-710-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR UNIV HEALTH CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "254-710-4268",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "01423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4543535",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYLOR UNIVERSITY HLTH CTR PHY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.