Organization Active NPI

Health Source Pharmacy Inc

  • Community/Retail Pharmacy
  • Sherman, TX
National Provider Identifier
1417201690
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28411 Issued in TX
Legal business name
HEALTH SOURCE PHARMACY INC
Practice address
809 Gallagher Dr Ste J1
Sherman, TX 75090-3111
Phone
(903) 893-1700
Fax
(903) 893-1702
NPI assigned
Nov 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2025

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

Authorized official

Name
Dinesh SriperambudurNPI 1467609628
Title
Officer/Pic
Phone
(903) 893-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28411 TX Primary

Addresses

Primary practice location

809 Gallagher Dr Ste J1
Sherman, TX 75090-3111

Mailing address

809 Gallagher Dr Ste J1
Sherman, TX 75090-3111
Phone (903) 893-1700

Other identifiers 2

IdentifierTypeStateIssuer
2138616OtherPK
146709MedicaidTX

Other names 2

  • Care Rx Pharmacy Doing business as
  • CareRx Pharmacy at Sherman Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130808000550 TX DME Supplier - Pharmacy 1254573942 Practice locations: Sherman, TX
O20150807015498 TX Part B Supplier - Mass Immunization (Roster Biller Only) 1254573942 Practice locations: Sherman, TX
O20201228001371 TX Part B Supplier - Pharmacy 1254573942 Practice locations: Sherman, TX

National Provider Directory

National Provider Directory

Locations

809 Gallagher Dr
Ste J1
Sherman, TX 75090
Phone (603) 867-7150

1733 Texoma Pkwy
#200
Sherman, TX 75090
Phone (903) 893-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743897600000",
    "number": "1417201690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 GALLAGHER DR STE J1",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750903111",
            "telephone_number": "903-893-1700",
            "fax_number": "903-893-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 GALLAGHER DR STE J1",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750903111",
            "telephone_number": "903-893-1700",
            "fax_number": "903-893-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOURCE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "SRIPERAMBUDUR",
        "authorized_official_first_name": "DINESH",
        "authorized_official_title_or_position": "OFFICER/PIC",
        "authorized_official_telephone_number": "903-893-1700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138616",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146709",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareRx Pharmacy at Sherman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareRx Pharmacy at Sherman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.