Active NPI
Saratoga Pharmacy LLC
- Community/Retail Pharmacy
- Fort Worth, TX
National Provider Identifier
1508151960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 27688
- Legal business name
- SARATOGA PHARMACY LLC
- Practice address
- 12650 N Beach St Ste 112
Fort Worth, TX 76244-4243 - Phone
- (817) 431-9700
- Fax
- (817) 562-5700
- NPI assigned
- Jun 14, 2011
- 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
- Haresh Bhagat
- Title
- Managing Partner
- Phone
- (817) 431-9700
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 27688 | TX | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
12650 N Beach St Ste 112
Fort Worth, TX 76244-4243
Mailing address
12650 N Beach St
Suite 112
Fort Worth, TX 76244-4243
Phone (817) 431-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903871 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Saratoga Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322438400000",
"number": "1508151960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12650 N BEACH ST",
"address_2": "SUITE 112",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762444243",
"telephone_number": "817-431-9700",
"fax_number": "817-562-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12650 N BEACH ST STE 112",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762444243",
"telephone_number": "817-431-9700",
"fax_number": "817-562-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARATOGA PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-14",
"last_updated": "2011-11-28",
"status": "A",
"authorized_official_last_name": "BHAGAT",
"authorized_official_first_name": "HARESH",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "817-431-9700"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "27688",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5903871",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Saratoga Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.