Organization Active NPI

Savco Generic Drugs Inc

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1164565024
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA325060 Issued in CA
Legal business name
SAVCO GENERIC DRUGS INC
Practice address
2101 Forest Ave Ste 122
San Jose, CA 95128-1424
Phone
(408) 298-6664
Fax
(408) 298-4150
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John M Puccinelli, RPH
Title
Manager
Phone
(408) 298-6664

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHA325060 CA
Community/Retail Pharmacy 3336C0003X PHA325060 CA Primary

Addresses

Primary practice location

2101 Forest Ave Ste 122
San Jose, CA 95128-1424

Mailing address

2101 Forest Ave Ste 122
San Jose, CA 95128-1424
Phone (408) 298-6664

Other identifiers 1

IdentifierTypeStateIssuer
PHA325060MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1164565024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE STE 122",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281424",
            "telephone_number": "408-298-6664",
            "fax_number": "408-298-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE STE 122",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281424",
            "telephone_number": "408-298-6664",
            "fax_number": "408-298-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVCO GENERIC DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "PUCCINELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-298-6664",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHA325060",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHA325060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA325060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.