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NPI 1003984071
● Active Type 2 · Organization
Baylor Scott & White Health Enterprises, Inc.
Pharmacy · Georgetown, TX · NPI 1003984071
·
Enumerated 2006 · 19 years on NPI
Baylor Scott & White Health Enterprises, Inc. is 1 of 5625 pharmacy organizations in Texas.
NPI age
19 years
Enumerated 2006-11-30
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cohen
President
Last NPPES update
2025-04-24
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-11 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
4945 Williams Dr
Georgetown, TX 786332008
📞 5129423302 fax 5129423304
Mailing address
Po Box 847670
Dallas, TX 752845765
📞 5129423302 fax 5129423304
Authorized official
Tammy Cohen
President
📞 2148653669
Individual providers at this organization
20 individual providers on file at this primary practice address.
Zayd Al-Nouri , MD
Internal Medicine
NPI 1225471188
Parisa Amirabadi , PA
Physician Assistant
NPI 1386072494
Misty Bell , APRN
Nurse Practitioner
NPI 1932726205
Simin Berenji , PA
Physician Assistant
NPI 1871154591
John Carlson , MD
Internal Medicine
NPI 1659352680
A. Carmichael , RPH
Pharmacist
NPI 1508461799
Joseph Cessac , O.D.
Optometrist
NPI 1255629960
Spenser Chen , M.D.
Internal Medicine
NPI 1386633022
Byron Chong , PA-C
Physician Assistant
NPI 1447206602
Jennifer Clark , M.D.
Internal Medicine
NPI 1003876095
Sangeetha Dayalan , M.D.
Internal Medicine
NPI 1982880902
Anita D'Mello , M.D.
Internal Medicine
NPI 1043236581
Arturo Dominguez , M.D.
Internal Medicine
NPI 1972770246
Marion Gonzales , RPH
Pharmacist
NPI 1396829644
Mithula Gopalam
Internal Medicine
NPI 1093931974
Denise Gordon , MSW
Social Worker
NPI 1588638613
Lillie Grantham , PA
Physician Assistant
NPI 1023818143
Susan Granville , PA
Physician Assistant
NPI 1912104431
Supraja Gulla , MD
Internal Medicine
NPI 1104076389
Christopher Hearne , M.D.
Internal Medicine
NPI 1134189863
Specialties
Pharmacy
Primary
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...
TX license #29826 taxonomy 3336C0003X
Identifiers
Type Value Notes
01
2151712
PK
05 (TX)
469765
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Baylor Scott & White Pharmacy #202
Type code 3
recorded 2019-02-19
Baylor Scott & White Pharmacy #202
Type code 3
recorded 2016-04-06
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.