NPIMap

Organization Active NPI

Super Save Markets

  • Community/Retail Pharmacy
  • Provo, UT
National Provider Identifier
1174552848
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
221250201703 Issued in UT
Legal business name
SUPER SAVE MARKETS
Practice address
655 E 300 S
Provo, UT 84606-4962
Phone
(801) 375-5005
Fax
(801) 375-1506
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Gary Steven Allen
Title
President
Phone
(801) 489-4377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 221250201703 UT Primary

Addresses

Primary practice location

655 E 300 S
Provo, UT 84606-4962

Mailing address

655 E 300 S
Provo, UT 84606-4962
Phone (801) 375-5005

National Provider Directory

National Provider Directory
Tax ID family
Super Save Markets2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

655 E 300 S
Provo, UT 84606
Phone (801) 375-5005

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1174552848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E 300 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846064962",
            "telephone_number": "801-375-5005",
            "fax_number": "801-375-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E 300 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846064962",
            "telephone_number": "801-375-5005",
            "fax_number": "801-375-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER SAVE MARKETS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-489-4377"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "221250201703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.