Organization Active NPI

Baylor Scott & White Health Enterprises, Inc.

Doing business as Baylor Scott & White Pharmacy #103

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1144527706
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27434 Issued in TX
Legal business name
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Doing business as
Baylor Scott & White Pharmacy #103
Practice address
3410 Worth St
Suite 240
Dallas, TX 75246-2003
Phone
(214) 820-8400
Fax
(214) 820-8435
NPI assigned
Feb 17, 2011
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Tammy Cohen
Title
President
Phone
(214) 865-3669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 27434 TX Primary

Addresses

Primary practice location

3410 Worth St
Suite 240
Dallas, TX 75246-2003

Mailing address

PO Box 847670
Dallas, TX 75284-7670
Phone (214) 820-8400

Other identifiers 2

IdentifierTypeStateIssuer
469763MedicaidTX
2129708OtherPK

Other names 1

  • Baylor Scott & White Pharmacy #103 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110828000002 TX DME Supplier - Pharmacy 8426182049 Practice locations: Dallas, TX
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…

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 27

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Baylor Scott & White Pharmacy #1033410 Worth St, Dallas, TX 75246-2072(214) 820-8400 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Apr 13, 2005

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Physicians Centre HospitalBryan, TX, CCN 450834 Hospital 5% Or Greater Indirect Ownership Interest (40.21%) Dec 1, 2025
Accentcare Home Health of College StationCollege Station, TX, CCN 679189 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Aug 1, 2017
Accentcare Home Health of WacoWaco, TX, CCN 679200 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Aug 1, 2014
Accentcare Home Health of McKinneyMcKinney, TX, CCN 679236 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Aug 1, 2017
Accentcare Home Health of Marble FallsMarble Falls, TX, CCN 679520 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Apr 19, 2024
Accentcare Home Health of TaylorHutto, TX, CCN 677035 Home health agency 5% Or Greater Indirect Ownership Interest Aug 1, 2017
Accentcare Home Health of TempleTemple, TX, CCN 457443 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Aug 1, 2017
Accentcare Home Health of Fort WorthFort Worth, TX, CCN 747526 Home health agency 5% Or Greater Indirect Ownership Interest (18.24%) Dec 1, 2018
Accentcare Home Health of DentonDenton, TX, CCN 679325 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Dec 21, 2020
Accentcare Home Health of DesotoDesoto, TX, CCN 679103 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Aug 1, 2017

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1144527706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847670",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847670",
            "telephone_number": "214-820-8400",
            "fax_number": "214-820-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST",
            "address_2": "SUITE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462003",
            "telephone_number": "214-820-8400",
            "fax_number": "214-820-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-865-3669"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469763",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Scott & White Pharmacy #103",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.