Active NPI
Health Source Pharmacy Inc
- Community/Retail Pharmacy
- Sherman, TX
National Provider Identifier
1417201690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28411
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dinesh Sriperambudur
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2138616 | Other | PK | |
| 146709 | Medicaid | TX |
Other names 2
- Care Rx Pharmacy
- CareRx Pharmacy at Sherman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Sherman, TX
- NPI 1467609628
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.