NPIMap

Organization Active NPI

Jac Stores Inc

Doing business as Savmor Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Virden, IL
National Provider Identifier
1245411297
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JAC STORES INC
Doing business as
Savmor Pharmacy
Practice address
105 E Jackson St
Virden, IL 62690-1450
Phone
(217) 965-4926
Fax
(217) 965-5620
NPI assigned
Nov 19, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
JAC STORES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
David Falk
Title
President
Phone
(217) 965-4926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

105 E Jackson St
Virden, IL 62690-1450

Mailing address

105 E Jackson St
Virden, IL 62690-1450
Phone (217) 965-4926

Other names 1

  • SAVMOR PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
J a C Stores Inc15 organizations share this tax ID, including this one
Part of
J a C Stores Inc

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1245411297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E JACKSON ST",
            "city": "VIRDEN",
            "state": "IL",
            "postal_code": "626901450",
            "telephone_number": "217-965-4926",
            "fax_number": "217-965-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E JACKSON ST",
            "city": "VIRDEN",
            "state": "IL",
            "postal_code": "626901450",
            "telephone_number": "217-965-4926",
            "fax_number": "217-965-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAC STORES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAC STORES INC",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-965-4926"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAVMOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virden, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.