Active NPI
Sav-on Drug Stores Inc
- Community/Retail Pharmacy
- Hesperia, CA
National Provider Identifier
1003272071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY54173
- Legal business name
- SAV-ON DRUG STORES INC
- Practice address
- 16455 Main St Ste 8
Hesperia, CA 92345-3500 - Phone
- (760) 998-2991
- Fax
- (760) 998-2994
- NPI assigned
- Jan 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Zen
- Title
- Owner
- Phone
- (760) 998-2991
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY54173 | CA | Primary |
Addresses
Primary practice location
16455 Main St Ste 8
Hesperia, CA 92345-3500
Mailing address
16455 Main St
Ste 8
Hesperia, CA 92345-3554
Phone (760) 998-2991
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157632 | Other | PK | |
| 1003272071 | Medicaid | CA |
Other names 1
- Zen Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170210000668 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 3173806429 |
3 other NPIs on this enrollment Practice locations: Laguna Beach, CA; Moreno Valley, CA; Corcoran, CA; Garden Grove, CA; Hesperia, CA |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Sav-on Drug Stores Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Corcoran, CA
- NPI 1013894724
-
- Community/Retail Pharmacy
- Moreno Valley, CA
- NPI 1134686801
-
- Community/Retail Pharmacy
- Laguna Beach, CA
- NPI 1992287981
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
12913 Harbor Blvd
Ste Q2
Garden Grove, CA 92840
Phone (714) 591-5201
16455 Main St
Ste 8
Hesperia, CA 92345
Phone (760) 956-2270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459209600000",
"number": "1003272071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16455 MAIN ST",
"address_2": "STE 8",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923453554",
"telephone_number": "760-998-2991",
"fax_number": "760-998-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16455 MAIN ST STE 8",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923453500",
"telephone_number": "760-998-2991",
"fax_number": "760-998-2994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAV-ON DRUG STORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-06",
"last_updated": "2016-03-29",
"status": "A",
"authorized_official_last_name": "ZEN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-998-2991"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY54173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2157632",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003272071",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Zen Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.