Baylor Scott & White Health Enterprises, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29181 Issued in TX

Legal business name

BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.

Doing business as

Baylor Scott & White Pharmacy #109

Practice address

4716 Alliance Blvd Ste 280
Plano, TX 75093-5381

Phone

(469) 814-5780

Fax

(469) 814-5788

NPI assigned

Mar 21, 2014

Last updated

Apr 24, 2025By the provider in NPPES

Organization subpart

No

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 1

Addresses

Other identifiers 2

Other names 1

• Baylor Scott & White Pharmacy #109 Doing business as

Locations

Practitioners 3

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.

• Tammara Tarae Allen, PHARMD

  • Pharmacist
  • Plano, TX
  • NPI 1649809898
  NPD (past)
• Jasmine J Kastner, PHARMD.

  • Pharmacist
  • Plano, TX
  • NPI 1013513985
  NPD (past)
• Gina Zachariah, PHARM.D.

  • Pharmacist
  • Plano, TX
  • NPI 1235725433
  NPD (past)

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1568889160",
    "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": "469-814-5780",
            "fax_number": "469-814-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 ALLIANCE BLVD STE 280",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935381",
            "telephone_number": "469-814-5780",
            "fax_number": "469-814-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144850",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470282",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Scott & White Pharmacy #109",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baylor Scott & White Pharmacy #109",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Bayliss, MD
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• Baylor Regional Medical Center at Plano
• Baylor Regional Medical Center at Plano (Baylor Scott & White Medical Center - Plano)
• Baylor Regional Medical Center at Plano
• Baylor Surgicare at Baylor Plano, LLC (Baylor Scott & White Surgicare at Plano Alliance)
• Baylor Surgicare at Plano Parkway, LLC (Baylor Scott & White Surgicare-Plano Parkway)
• Baylor Surgicare at Plano, LLC (Baylor Scott & White Surgicare - Plano)
• Bayside Dental of Mesquite PLLC (Diamond Dental Studio)
• Alexandria Bazan

• Community/Retail Pharmacy in Plano, TX
• Providers in Plano, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.