Organization Active NPI

Saveway Market Inc

  • Community/Retail Pharmacy
  • Salmon, ID
National Provider Identifier
1164804795
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
39073RP Issued in ID
Legal business name
SAVEWAY MARKET INC
Practice address
1200 Shoup St
Salmon, ID 83467-4300
Phone
(208) 756-2822
NPI assigned
Jun 19, 2015
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Allison Cardona, PHARMDNPI 1457753394
Title
Pharmacy Manager
Phone
(208) 240-1741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 39073RP ID Primary

Addresses

Primary practice location

1200 Shoup St
Salmon, ID 83467-4300

Mailing address

PO Box 640
Salmon, ID 83467-0640

Other identifiers 1

IdentifierTypeStateIssuer
39073RPOtherIDIDAHO PHARMACY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161028001070 ID Part B Supplier - Mass Immunization (Roster Biller Only) 3779861521 Practice locations: Salmon, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2095588Saveway Market Pharmacy1200 Shoup St, Salmon, ID 83467Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

1200 Shoup St
Salmon, ID 83467
Phone (208) 756-1940

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1164804795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834670640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SHOUP ST",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674300",
            "telephone_number": "208-756-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVEWAY MARKET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "208-240-1741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ID",
            "license": "39073RP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO PHARMACY LICENSE",
            "identifier": "39073RP",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salmon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.