SAGE PHARMACY AND STORES LLC NPI 1023300084

NPI Information

  • NPI: 1023300084
  • Provider Name: SAGE PHARMACY AND STORES LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: SAGE PHARMACY AND STORES, LLC
  • Address: 2500 S LAKELINE BLVD STE 202
    CEDAR PARK, TX
    ZIP 78613
  • Phone: (512) 628-1090

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NPI Details

SAGE PHARMACY AND STORES LLC is a community/retail pharmacy pharmacy in Cedar Park, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SAGE PHARMACY AND STORES LLC NPI is 1023300084. The provider is registered as an organization entity type.
The provider Is Doing Business As Sage Pharmacy And Stores, Llc.

The provider's business location address is:

2500 S LAKELINE BLVD STE 202
CEDAR PARK, TX
ZIP 78613-969
Phone: (512) 628-1090
Fax: (512) 628-1090

The provider's authorized official is Survam Patel .
The authorized official title is President and has the following contact phone number (512) 628-1090.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 10/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy27581TEXASNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1148225MEDICAIDTEXAS
22131770OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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