Organization Active NPI

Hutrx Pharmacy Inc

Doing business as Safesave Pharmacy

  • Community/Retail Pharmacy
  • Yuba City, CA
National Provider Identifier
1174670228
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY54526 Issued in CA
Legal business name
HUTRX PHARMACY INC
Doing business as
Safesave Pharmacy
Practice address
737 Colusa Ave
Yuba City, CA 95991-3734
Phone
(530) 674-3550
Fax
(530) 673-6288
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Hieng Tang, PHRMDNPI 1902356413
Title
Owner
Phone
(530) 674-3550

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY54526 CA Primary

Addresses

Primary practice location

737 Colusa Ave
Yuba City, CA 95991-3734

Mailing address

737 Colusa Ave
Yuba City, CA 95991-3734
Phone (530) 674-3550

Other identifiers 2

IdentifierTypeStateIssuer
2115896OtherPK
PHA360870MedicaidCA

Other names 1

  • SAFESAVE PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170127002385 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2961784889 Practice locations: Yuba City, CA

National Provider Directory

National Provider Directory
Tax ID family
Hutrx Pharmacy Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1174670228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 COLUSA AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913734",
            "telephone_number": "530-674-3550",
            "fax_number": "530-673-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 COLUSA AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913734",
            "telephone_number": "530-674-3550",
            "fax_number": "530-673-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTRX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "HIENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-674-3550",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2115896",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA360870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFESAVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.