Healthmark Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HEALTHMARK PHARMACY, LLC

Doing business as

Southern Star Pharmacy 003

Practice address

2436 S Interstate 35 E Ste 336B
Denton, TX 76205-4900

Phone

(469) 702-2006

NPI assigned

Jul 17, 2019

Last updated

Oct 1, 2021By 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

Trey Austin

Title

Managing Member

Phone

(469) 247-3881

Specialties & licenses 1

Addresses

Other names 1

• Southern Star Pharmacy 003 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.

• Sherin F Shehabeldin

  • Pharmacist
  • Denton, TX
  • NPI 1437910247
  NPD
• Anthony Ta, R.PH

  • Pharmacist
  • Lewisville, TX
  • NPI 1710546015
  NPD
• Sean Thomas Gatz, PHARMD

  • Pharmacist
  • Plano, TX
  • NPI 1790455970
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1770136806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 S INTERSTATE 35 E STE 336B",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054900",
            "telephone_number": "469-702-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 S INTERSTATE 35 E STE 336B",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054900",
            "telephone_number": "469-702-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMARK PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-247-3881"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Star Pharmacy 003",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Health Services of North Texas, Inc.
• Health Services of North Texas, Inc.
• Health Services of North Texas, Inc.
• Health United Care
• Healthmark Pharmacy, LLC (Southern Star Pharmacy 003)
• Healthtexas Provider Network
• Healthtrackrx Indiana, Inc (HealthTrackRx)
• Healthy Life Chiropractic
• Heart of Behavior LLC
• Heartcheck

• Community/Retail Pharmacy in Denton, TX
• Providers in Denton, 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 Oct 1, 2021; 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.