NPIMap

Organization Active NPI

Albertsons LLC

Doing business as Savon Pharmacy

  • Community/Retail Pharmacy
  • Moorpark, CA
National Provider Identifier
1407802424
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY51311 Issued in CA
Legal business name
ALBERTSONS LLC
Doing business as
Savon Pharmacy
Practice address
475 W Los Angeles Ave
Moorpark, CA 93021-1707
Phone
(805) 523-1441
Fax
(805) 523-2804
NPI assigned
May 25, 2006
Last updated
Jul 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Diona Townsend
Title
Asst Manager Plan Implementation
Phone
(847) 916-4513

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY51311 CA Primary

Addresses

Primary practice location

475 W Los Angeles Ave
Moorpark, CA 93021-1707

Mailing address

250 E Parkcenter Blvd
Quarry B BLDG
Boise, ID 83706-3940
Phone (208) 395-3436

Other identifiers 3

IdentifierTypeStateIssuer
2000500OtherPK
071PHA456920MedicaidCA
071PHA477480MedicaidCA

Other names 1

  • SAVON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member of 5

Organizations this organization is a member of, according to the National Provider Directory.

Locations

475 W Los Angeles Ave
Moorpark, CA 93021
Phone (805) 523-1441

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1407802424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "address_2": "QUARRY B BLDG",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063940",
            "telephone_number": "208-395-3436",
            "fax_number": "208-495-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W LOS ANGELES AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211707",
            "telephone_number": "805-523-1441",
            "fax_number": "805-523-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTSONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "DIONA",
        "authorized_official_title_or_position": "ASST MANAGER PLAN IMPLEMENTATION",
        "authorized_official_telephone_number": "847-916-4513"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2000500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071PHA456920",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071PHA477480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAVON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.