NPIMap

Organization Active NPI

Saucedo Pharmacy Inc

  • Long Term Care Pharmacy
  • Dumas, TX
National Provider Identifier
1982156212
Registry record updated Oct 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
31887 Issued in TX
Legal business name
SAUCEDO PHARMACY INC
Doing business as
Roger's Pharmacy Long-Term Care
Practice address
1021 E 1St St
Dumas, TX 79029
Phone
(806) 935-7494
Fax
(806) 935-5805
NPI assigned
Nov 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2022

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

Authorized official

Name
Jason SaucedoNPI 1164010070
Title
President/Pharmacist in Charge
Phone
(806) 935-7494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 31887 TX Primary

Addresses

Primary practice location

1021 E 1St St
Dumas, TX 79029

Mailing address

1021 E 1St St
Dumas, TX 79029-3340
Phone (806) 935-7494

Other names 1

  • Roger's Pharmacy Long-Term Care Doing business as

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666396800000",
    "number": "1982156212",
    "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": "2016-11-03",
        "last_updated": "2022-10-22",
        "certification_date": "2022-10-22",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "806-935-7494"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "31887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger's Pharmacy Long-Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dumas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2022; 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.