Organization Active NPI

Savon Pharmacy

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Boise, ID
National Provider Identifier
1255670683
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
P6676 Issued in ID
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Erica Zelickowski, PHARMDNPI 1215364278
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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.