Organization Active NPI

Saenz Medical Pharmacy Lone Star, Inc.

  • Clinic/Center
  • Mission, TX
National Provider Identifier
1245889757
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAENZ MEDICAL PHARMACY LONE STAR, INC.
Practice address
2121 E Griffin Pkwy Ste 18
Mission, TX 78572-3072
Phone
(956) 519-6500
Fax
(956) 519-6524
NPI assigned
Sep 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jesus Alberto Saenz, RPH
Title
Owner
Phone
(956) 630-6465

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2121 E Griffin Pkwy Ste 18
Mission, TX 78572-3072

Mailing address

2121 E Griffin Pkwy Ste 18
Mission, TX 78572-3072
Phone (956) 519-6500

Other identifiers 3

IdentifierTypeStateIssuer
167743701MedicaidTX
145376MedicaidTX
148229MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Saenz Medical Pharmacy Lone Star Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2121 E Griffin Pkwy
Ste 18
Mission, TX 78572
Phone (956) 519-6500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1245889757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY STE 18",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723072",
            "telephone_number": "956-519-6500",
            "fax_number": "956-519-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY STE 18",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723072",
            "telephone_number": "956-519-6500",
            "fax_number": "956-519-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAENZ MEDICAL PHARMACY LONE STAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "SAENZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-630-6465",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167743701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145376",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148229",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.