Active NPI
Savon Pharmacy
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Boise, ID
National Provider Identifier
1255670683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- P6676
- Legal business name
- SAVON PHARMACY
- Practice address
- 1653 S Vista Ave
Pharmacy
Boise, ID 83705-3172 - Phone
- (208) 331-3007
- NPI assigned
- Feb 5, 2013
- Last updated
- Feb 5, 2013
- 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
- Erica Zelickowski, PHARMD
- Title
- Pharmacist
- Phone
- (208) 830-2453
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | P6676 | ID | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 17649 | NV |
Addresses
Primary practice location
1653 S Vista Ave
Pharmacy
Boise, ID 83705-3172
Mailing address
660 S Clearwater LN Apt 102
Boise, ID 83712-7746
Phone (208) 830-2453
Other names 1
- New Albertsons formerly Supervalu
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Boise, ID
- NPI 1215364278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360022400000",
"number": "1255670683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S CLEARWATER LN APT 102",
"city": "BOISE",
"state": "ID",
"postal_code": "837127746",
"telephone_number": "208-830-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 S VISTA AVE",
"address_2": "PHARMACY",
"city": "BOISE",
"state": "ID",
"postal_code": "837053172",
"telephone_number": "208-331-3007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVON PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-05",
"last_updated": "2013-02-05",
"status": "A",
"authorized_official_last_name": "ZELICKOWSKI",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "208-830-2453",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "ID",
"license": "P6676",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NV",
"license": "17649",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Albertsons formerly Supervalu",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.