Saucedo Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31887 Issued in TX

Legal business name

SAUCEDO PHARMACY INC

Doing business as

Roger's Pharmacy

Practice address

1021 E 1St St
Dumas, TX 79029

Phone

(806) 935-7494

Fax

(806) 935-5805

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Jason Saucedo, PHARM.D.NPI 1164010070

Title

Owner/Pharmacist in Charge

Phone

(806) 935-7494

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roger's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Saucedo Pharmacy 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.

• Saucedo Pharmacy Inc

  • Long Term Care Pharmacy
  • Dumas, TX
  • NPI 1982156212
  NPD tax ID

Locations

Practitioners 2

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

• Jason A Saucedo, PHARMD

  • Pharmacist
  • Dumas, TX
  • NPI 1164010070
  NPD Authorized official
• Brittany Michelle Vincitore, PHARMD

  • Pharmacist
  • Dumas, TX
  • NPI 1760071120
  NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1821101932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293340",
            "telephone_number": "806-935-7494",
            "fax_number": "806-935-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "79029",
            "telephone_number": "806-935-7494",
            "fax_number": "806-935-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUCEDO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "806-935-7494",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149822",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roger's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayra Ramos
• Robbie Lea Ray, PTA
• Scott R. Reynolds, R.PH.
• Summer Roark
• S. Ray Johnson
• Saucedo Pharmacy Inc
• Jason A Saucedo, PHARMD
• Dorothy Schwertner
• Bethany Stenson Scroggins, PTA
• Trent Randolph Seagler, PT

• Community/Retail Pharmacy in Dumas, TX
• Providers in Dumas, 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 Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.