Active NPI
Lucky Stores II LLC
Doing business as Savon Pharmacy
- Community/Retail Pharmacy
- San Bruno, CA
National Provider Identifier
1205873635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LUCKY STORES II LLC
- Doing business as
- Savon Pharmacy
- Practice address
- 1322 El Camino Real
San Bruno, CA 94066-1304 - Phone
- (650) 742-9737
- Fax
- (650) 742-6152
- NPI assigned
- Jun 2, 2006
- Last updated
- Sep 11, 2025
- 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 | PHY39240 | CA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1322 El Camino Real
San Bruno, CA 94066-1304
Mailing address
1322 El Camino Real
San Bruno, CA 94066-1304
Other names 1
- SAVON PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Lucky Stores II LLC
Organizations with this tax ID in the same state 23
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
1322 El Camino Real
San Bruno, CA 94066
Phone (650) 742-9737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1205873635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 EL CAMINO REAL",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940661304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 EL CAMINO REAL",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940661304",
"telephone_number": "650-742-9737",
"fax_number": "650-742-6152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCKY STORES II LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2025-09-11",
"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": "CA",
"license": "PHY39240",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SAVON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.