BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.
NPI 1770947798
Pharmacy - Community/Retail Pharmacy in Dallas, TX

Q: What is Baylor Scott & White Health Enterprises, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since April 06, 2016

3417 GASTON AVE STE 195, DALLAS, TX 75246(214) 818-1611(214) 818-1612 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2019, Oct 11, 2016 (2 updates tracked since 2016).

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About Baylor Scott & White Health Enterprises, Inc. NPPES

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

BAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC. (NPI 1770947798), doing business as Baylor Scott & White Pharmacy #111, is a healthcare organization registered as a community/retail pharmacy in Dallas, Texas and active in the NPI registry since April 2016. The organization lists Tammy Cohen, President, as its authorized official.

NPPES Registry Identity

NPI1770947798

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameBAYLOR SCOTT & WHITE HEALTH ENTERPRISES, INC.

Location Address3417 GASTON AVE STE 195Dallas, TX 75246-2016

Mailing AddressPo Box 847670Dallas, TX 75284-7670 · (214) 818-1611 · Fax (214) 818-1612

Phone(214) 818-1611

Fax(214) 818-1612

Organization SubpartNo

Authorized OfficialTammy CohenPresident · (214) 865-3669

Enumeration DateApril 6, 2016

Last NPPES UpdateApril 24, 20252 updates tracked since enumeration

NPPES CertifiedApril 24, 2025

✔ NPI 1770947798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TX · 30929

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

3417 GASTON AVE STE 195, Dallas, TX 75246

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Other Names 1

Doing Business AsBaylor Scott & White Pharmacy #111

Other Identifiers 2

Medicaid471152TX

Other2159029Pk

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 Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Baylor Scott & White Pharmacy #111 carries, from the Medicare DMEPOS supplier directory.

Baylor Scott & White Pharmacy #111

DMEPOS supplier · Dallas, TXOperated by Baylor Scott & White Health Enterprises Inc

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Does not accept Medicare assignment

Baylor Scott & White Pharmacy #111 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20581193

Medicare Participant SinceApril 13, 2005

Supplier Location3417 Gaston Ave Ste 195Dallas, TX 75246

Phone(214) 818-1611

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN LEE VILLAMOR MADELOZO PHARMD

Pharmacist

3417 GASTON AVE STE 195
DALLAS, TX 75246

Dallas County (214) 818-1611

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 Baylor Scott & White Health Enterprises, Inc.'s NPI number?

The NPI number for Baylor Scott & White Health Enterprises, Inc. is 1770947798. It was assigned to this organization in the NPPES registry on April 6, 2016. The provider is doing business as Baylor Scott & White Pharmacy #111.

Where is Baylor Scott & White Health Enterprises, Inc. located?

Baylor Scott & White Health Enterprises, Inc. is located at 3417 Gaston Ave Ste 195, Dallas, TX 75246. The listed phone number is (214) 818-1611.

What is Baylor Scott & White Health Enterprises, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Baylor Scott & White Health Enterprises, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Baylor Scott & White Pharmacy #111 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Baylor Scott & White Health Enterprises, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 56 other insurers list Baylor Scott & White Health Enterprises, Inc. 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 Baylor Scott & White Health Enterprises, Inc. was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.