SAGE PHARMACY AND STORES, LLC (SAGE PHARMACY AND STORES LLC) NPI 1023300084

Pharmacy in Cedar Park, TX

NPI 1023300084 Organization Pharmacy

About SAGE PHARMACY AND STORES, LLC (SAGE PHARMACY AND STORES LLC)

Sage Pharmacy And Stores, Llc (sage Pharmacy And Stores Llc) is a provider established in Cedar Park, Texas specializing in pharmacy. The NPI number of Sage Pharmacy And Stores, Llc (sage Pharmacy And Stores Llc) is 1023300084 and was assigned on May 2011. The practitioner's primary taxonomy code is 333600000X with license number 27581 (TX). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Sage Pharmacy And Stores, Llc. The authorized official of this NPI record is Survam Patel (President)

NPI

1023300084

Provider NameSAGE PHARMACY AND STORES, LLC (SAGE PHARMACY AND STORES LLC)
Provider Location Address2500 S LAKELINE BLVD STE 202 CEDAR PARK, TX 78613
Provider Mailing Address2500 S LAKELINE BLVD STE 202 CEDAR PARK, TX 78613
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSAGE PHARMACY AND STORES, LLC
Other Name TypeDoing Business As (3)
Enumeration Date05-10-2011
Last Update Date06-22-2017


Primary Taxonomy

Taxonomy Code333600000X
ClassificationPharmacy
TypeSuppliers
License No.27581
License StateTX
Taxonomy DescriptionA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Business Address

SAGE PHARMACY AND STORES, LLC
2500 S LAKELINE BLVD STE 202
CEDAR PARK, TX
ZIP 78613
Phone:
Fax: (512) 628-1090

Get Directions


Mailing Address

SAGE PHARMACY AND STORES, LLC
2500 S LAKELINE BLVD STE 202
CEDAR PARK, TX
ZIP 78613
Phone:
Fax: (512) 628-1090



Authorized Official

Authorized Official Name SURVAM PATEL
Authorized Official TitlePRESIDENT
Authorized Official Phone(512) 628-1090

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2131770OTHER (01)
148225MEDICAID (05)TX

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.