Provider Demographics
NPI:1255423612
Name:SAENZ MEDICAL PHARMACY RIDGE, INC.
Entity type:Organization
Organization Name:SAENZ MEDICAL PHARMACY RIDGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:956-687-2500
Mailing Address - Street 1:1200 E RIDGE RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1527
Mailing Address - Country:US
Mailing Address - Phone:956-630-2500
Mailing Address - Fax:956-630-2502
Practice Address - Street 1:1200 E RIDGE RD
Practice Address - Street 2:SUITE 13
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1527
Practice Address - Country:US
Practice Address - Phone:956-630-2500
Practice Address - Fax:956-630-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
TX4823360001332B00000X
TX225903336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161537901Medicaid
TX148234Medicaid
TX161537902Medicaid
TX145280Medicaid