Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Organization
BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
Active
Other names
Baylor Scott & White Pharmacy #107
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY COHEN (PRESIDENT)
(214) 865-3669
Entity
Organization
Contact information
Practice address
1600 W COLLEGE ST, SUITE 110, GRAPEVINE, TX 76051-3580
(817) 388-3090
(817) 388-3091
Mailing address
PO BOX 847670, DALLAS, TX 75284-7670
(214) 820-9268
(214) 818-8886
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140933
PK
—
05
—
469873
—
TX
Enumeration date
06/25/2013
Last updated
04/24/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up