Organization Active NPI

Westlake Health & Beauty Products

Doing business as Westlake Health Mart Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1467996314
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31308 Issued in TX
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149586MedicaidTX
2167006OtherPK

Other names 1

  • WESTLAKE HEALTH MART PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.