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SAGE MED LLC NPI 1740576206


NPI Information

NPI: 1740576206
Provider Name: SAGE MED LLC

Doing Business As: SAGE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1620 E 8TH ST STE 2
1620 E 8TH ST SUITE 2
WESLACO, TX
ZIP 78596
Phone: (956) 351-5322
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SAGE MED LLC is a community/retail pharmacy pharmacy in Weslaco, TX. The provider is 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. SAGE MED LLC NPI is 1740576206. The provider is registered as an organization entity type.
The provider Is Doing Business As Sage Pharmacy.

The provider's business location address is:

1620 E 8TH ST STE 2
1620 E 8TH ST SUITE 2
WESLACO, TX
ZIP 78596-883
Phone: (956) 351-5322
Fax: (956) 351-5341

The provider's authorized official is Henry Fonseca .
The authorized official title is Owner/pic and has the following contact phone number (956) 857-4823.

The enumeration date for this NPI number is 6/23/2011 and was last updated on 8/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy27573TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1146434MEDICAIDTEXAS
25903617OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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