Sage Med LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27573 Issued in TX

Legal business name

SAGE MED LLC

Doing business as

SAGE PHARMACY

Practice address

1620 E 8TH St Ste 2
1620 E 8TH St Suite 2
Weslaco, TX 78596-5883

Phone

(956) 351-5322

Fax

(956) 351-5341

NPI assigned

Jun 23, 2011

Organization subpart

No

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

Authorized official

Name

Henry Fonseca

Title

Owner/Pic

Phone

(956) 857-4823

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SAGE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1740576206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 E 8TH ST STE 2",
            "address_2": "1620 E 8TH ST SUITE 2",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965883",
            "telephone_number": "956-351-5322",
            "fax_number": "956-351-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E 8TH ST STE 2",
            "address_2": "1620 E 8TH ST SUITE 2",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965883",
            "telephone_number": "956-351-5322",
            "fax_number": "956-351-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "956-857-4823"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5903617",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146434",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• RGHD Sadkh, MD
• Eric Saenz, PTA
• Jorge Saenz, MD PA
• Joseph Paul Saenz, CRNA, M.S.
• Wendy Saenz, CRNA
• Saint Mary' Pharmacy
• Jose Luis Salazar
• Reyna Salazar
• Sandra Salazar, MS LPC
• Siprian Sipi Salazar, PTA

• Community/Retail Pharmacy in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.