Active NPI
Lakeview Saveall Pharmacy
- Pharmacy
- San Angelo, TX
National Provider Identifier
1356394449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 22870
- Legal business name
- LAKEVIEW SAVEALL PHARMACY
- Practice address
- 621 W 29TH St
San Angelo, TX 76903-2827 - Phone
- (325) 658-2964
- Fax
- (325) 655-1733
- NPI assigned
- May 18, 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
- Darrell Smith, RPH
- Title
- Pres
- Phone
- (325) 658-2964
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 22870 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
621 W 29TH St
San Angelo, TX 76903-2827
Mailing address
621 W 29TH St
San Angelo, TX 76903-2827
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145340 | Medicaid | TX | |
| 4531643 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Lakeview Saveall Pharmacies Vital Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lakeview Saveall Pharmacies Vital Care
- Specialty Pharmacy
- San Angelo, TX
- NPI 1891892303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1356394449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 W 29TH ST",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769032827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W 29TH ST",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769032827",
"telephone_number": "325-658-2964",
"fax_number": "325-655-1733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW SAVEALL PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DARRELL",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "325-658-2964",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "22870",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145340",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4531643",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
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.