Active NPI
Saenz Medical Pharmacy Lone Star, Inc.
- Clinic/Center
- Mission, TX
National Provider Identifier
1245889757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167743701 | Medicaid | TX | |
| 145376 | Medicaid | TX | |
| 148229 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Saenz Medical Pharmacy Lone Star Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Mission, TX
- NPI 1588799795
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.
-
- Pharmacist
- Mission, TX
- NPI 1790316180
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.