NPIMap

Organization Active NPI

Baylor Scott & White Health Enterprises, Inc.

  • Community/Retail Pharmacy
  • College Station, TX
National Provider Identifier
1962862383
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30953 Issued in TX
Legal business name
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Practice address
700 Scott and White Dr Ste 1.112
College Station, TX 77845-6441
Phone
(979) 207-0120
Fax
(979) 207-0128
NPI assigned
Feb 26, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 30953 TX Primary

Addresses

Primary practice location

700 Scott and White Dr Ste 1.112
College Station, TX 77845-6441

Mailing address

PO Box 847670
Dallas, TX 75284-5765
Phone (979) 207-0120

Other identifiers 2

IdentifierTypeStateIssuer
471139MedicaidTX
2158337OtherPK

Other names 1

  • Baylor Scott & White Pharmacy #278 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 on the same Medicare enrollment 27

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

View all 27

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1962862383",
    "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": "752845765",
            "telephone_number": "979-207-0120",
            "fax_number": "979-207-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SCOTT AND WHITE DR STE 1.112",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456441",
            "telephone_number": "979-207-0120",
            "fax_number": "979-207-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "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": "30953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471139",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Scott & White Pharmacy #278",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baylor Scott & White Pharmacy #278",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.