Active NPI
Albertsons LLC
Doing business as Savon Pharmacy
- Community/Retail Pharmacy
- Fort Myers, FL
National Provider Identifier
1164469615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH15553
- Legal business name
- ALBERTSONS LLC
- Doing business as
- Savon Pharmacy
- Practice address
- 13401 Summerlin Rd
Fort Myers, FL 33919-6592 - Phone
- (239) 437-5844
- Fax
- (239) 437-5833
- NPI assigned
- Jun 1, 2006
- Last updated
- Nov 21, 2007
- 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 | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PH15553 | FL | Primary |
Addresses
Primary practice location
13401 Summerlin Rd
Fort Myers, FL 33919-6592
Mailing address
13401 Summerlin Rd
Fort Myers, FL 33919-6592
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1081328 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 1081328 | Other | OTHER ID NUMBER |
Other names 1
- SAVON PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Albertsons Inc 4103
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195603200000",
"number": "1164469615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13401 SUMMERLIN RD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339196592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13401 SUMMERLIN RD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339196592",
"telephone_number": "239-437-5844",
"fax_number": "239-437-5833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERTSONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2007-11-21",
"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": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH15553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1081328",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "1081328",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAVON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.