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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEALTHMARK PHARMACY, LLC
NPI 1770136806
Pharmacy - Compounding Pharmacy in Plano, TX

Active since July 17, 2019
5151 HEADQUARTERS DR STE 165, PLANO, TX 75024(972) 292-9833(972) 292-9834 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2021, Sep 21, 2021, May 10, 2021 and 2 more (5 updates tracked since 2019).

About Healthmark Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHMARK PHARMACY, LLC (NPI 1770136806), doing business as Ageless Pharma Rx, is a healthcare organization registered as a compounding pharmacy in Plano, Texas and active in the NPI registry since July 2019. The organization lists Jeffrey T Broadwater, Owner, as its authorized official.

NPPES Registry Identity

NPI1770136806
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameHEALTHMARK PHARMACY, LLC
Location Address5151 HEADQUARTERS DR STE 165Plano, TX 75024-0015
Mailing Address5151 Headquarters Dr Ste 165Plano, TX 75024-0015 · (972) 292-9833 · Fax (972) 292-9834
Phone(972) 292-9833
Fax(972) 292-9834
Organization SubpartNo
Authorized OfficialJeffrey T BroadwaterOwner · (972) 689-7102
Enumeration DateJuly 17, 2019
Last NPPES UpdateOctober 21, 20265 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1770136806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
5151 HEADQUARTERS DR STE 165, Plano, TX 75024
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Other Names 2

Doing Business AsAgeless Pharma Rx
Doing Business AsSouthern Star Pharmacy 003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthmark Pharmacy, LLC's NPI number?

The NPI number for Healthmark Pharmacy, LLC is 1770136806. It was assigned to this organization in the NPPES registry on July 17, 2019. The provider is doing business as Ageless Pharma Rx and Southern Star Pharmacy 003.

Where is Healthmark Pharmacy, LLC located?

Healthmark Pharmacy, LLC is located at 5151 Headquarters Dr Ste 165, Plano, TX 75024. The listed phone number is (972) 292-9833.

What is Healthmark Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

What insurance does Healthmark Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 37 other insurers list Healthmark Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healthmark Pharmacy, LLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.