Active NPI
Lucky Stores II LLC
Doing business as Savon Pharmacy
- Community/Retail Pharmacy
- Folsom, CA
National Provider Identifier
1114964541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LUCKY STORES II LLC
- Doing business as
- Savon Pharmacy
- Practice address
- 1003 E Bidwell St
Folsom, CA 95630-5548 - Phone
- (916) 983-4084
- Fax
- (916) 983-0951
- NPI assigned
- Jun 2, 2006
- 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
- Lorenzo Torres
- Title
- New Store Enrollments
- Phone
- (847) 916-4463
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY39238 | CA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1003 E Bidwell St
Folsom, CA 95630-5548
Mailing address
1003 E Bidwell St
Folsom, CA 95630-5548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0535798 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- SAVON PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Lucky Stores II LLC
Organizations with this tax ID in the same state 21
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
1003 E Bidwell St
Folsom, CA 95630
Phone (916) 983-4084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1114964541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 E BIDWELL ST",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956305548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 E BIDWELL ST",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956305548",
"telephone_number": "916-983-4084",
"fax_number": "916-983-0951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCKY STORES II LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "LORENZO",
"authorized_official_title_or_position": "NEW STORE ENROLLMENTS",
"authorized_official_telephone_number": "847-916-4463"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY39238",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0535798",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAVON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.