Active NPI
Westlake Health & Beauty Products
Doing business as Westlake Health Mart Pharmacy
- Community/Retail Pharmacy
- Fort Worth, TX
National Provider Identifier
1467996314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 31308
- Legal business name
- WESTLAKE HEALTH & BEAUTY PRODUCTS
- Doing business as
- Westlake Health Mart Pharmacy
- Practice address
- 5421 Basswood Blvd Ste 700
Fort Worth, TX 76137-4483 - Phone
- (817) 893-5182
- Fax
- (817) 893-5236
- NPI assigned
- Dec 12, 2016
- Last updated
- Jul 19, 2018
- 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
- Denise Doan, PHARMD
- Title
- Officer
- Phone
- (817) 274-8200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 31308 | TX | Primary |
Addresses
Primary practice location
5421 Basswood Blvd Ste 700
Fort Worth, TX 76137-4483
Mailing address
5421 Basswood Blvd Ste 700
Fort Worth, TX 76137-4483
Phone (817) 893-5182
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149586 | Medicaid | TX | |
| 2167006 | Other | PK |
Other names 1
- WESTLAKE HEALTH MART PHARMACY
National Provider Directory
National Provider DirectoryLocations
5421 Basswood Blvd
Ste 700
Fort Worth, TX 76137
Phone (817) 893-5182
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- North Richland Hills, TX
- NPI 1821541491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1467996314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5421 BASSWOOD BLVD STE 700",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761374483",
"telephone_number": "817-893-5182",
"fax_number": "817-893-5236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5421 BASSWOOD BLVD STE 700",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761374483",
"telephone_number": "817-893-5182",
"fax_number": "817-893-5236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTLAKE HEALTH & BEAUTY PRODUCTS",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-12",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "DOAN",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "817-274-8200",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "31308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149586",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2167006",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WESTLAKE HEALTH MART PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
- Westcreek Animal Clinic P.C.
- Westcreek Physical Therapy
- Western Center Medical Center (First Choice Emergency Room)
- Western Clinical Health Services, Inc. (Hemphill Treatment Facility)
- Western Dental
- Dana Weston, RDH, IBCLC
- Westport Physical Therapy LLC
- Westside Caregivers, LLC
- Westside Concierge Physical Therapy
- Westside Plastic Surgery, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.