NPIMap

Organization Active NPI

Baylor Scott & White Health Enterprises, Inc.

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1770947798
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30929 Issued in TX
Legal business name
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Practice address
3417 Gaston Ave Ste 195
Dallas, TX 75246-2016
Phone
(214) 818-1611
Fax
(214) 818-1612
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 30929 TX Primary

Addresses

Primary practice location

3417 Gaston Ave Ste 195
Dallas, TX 75246-2016

Mailing address

PO Box 847670
Dallas, TX 75284-7670
Phone (214) 818-1611

Other identifiers 2

IdentifierTypeStateIssuer
471152MedicaidTX
2159029OtherPK

Other names 1

  • Baylor Scott & White Pharmacy #111 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181215000523 TX DME Supplier - Pharmacy 8426182049 Practice locations: Dallas, TX
O20200819000208 TX Part B Supplier - Pharmacy 8426182049 31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: McKinney, TX; Salado, TX; Pflugerville, TX; Round Rock, TX; Temple, TX; Waco, TX; Waxahachie, TX; Irving, TX…

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 27

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Baylor Scott & White Pharmacy #1113417 Gaston Ave, Dallas, TX 75246-2024(214) 818-1611 Immunosuppressive Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Apr 13, 2005

National Provider Directory

National Provider Directory

Member organizations 13

Organizations listed as members of this organization in the National Provider Directory.

View all 13

Locations

3417 Gaston Ave
Ste 195
Dallas, TX 75246
Phone (214) 818-1611

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Physicians Centre HospitalBryan, TX, CCN 450834 Hospital 5% Or Greater Indirect Ownership Interest (40.21%) Dec 1, 2025
Accentcare Home Health of College StationCollege Station, TX, CCN 679189 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Aug 1, 2017
Accentcare Home Health of WacoWaco, TX, CCN 679200 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Aug 1, 2014
Accentcare Home Health of McKinneyMcKinney, TX, CCN 679236 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Aug 1, 2017
Accentcare Home Health of Marble FallsMarble Falls, TX, CCN 679520 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Apr 19, 2024
Accentcare Home Health of TaylorHutto, TX, CCN 677035 Home health agency 5% Or Greater Indirect Ownership Interest Aug 1, 2017
Accentcare Home Health of TempleTemple, TX, CCN 457443 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Aug 1, 2017
Accentcare Home Health of Fort WorthFort Worth, TX, CCN 747526 Home health agency 5% Or Greater Indirect Ownership Interest (18.24%) Dec 1, 2018
Accentcare Home Health of DentonDenton, TX, CCN 679325 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Dec 21, 2020
Accentcare Home Health of DesotoDesoto, TX, CCN 679103 Home health agency 5% Or Greater Indirect Ownership Interest (18.42%) Aug 1, 2017

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1770947798",
    "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": "214-818-1611",
            "fax_number": "214-818-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 GASTON AVE STE 195",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462016",
            "telephone_number": "214-818-1611",
            "fax_number": "214-818-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471152",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Scott & White Pharmacy #111",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baylor Scott & White Pharmacy #111",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.