Active NPI
Albertsons LLC
Doing business as Savon Pharmacy
- Community/Retail Pharmacy
- Boca Raton, FL
National Provider Identifier
1437196987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10532
- Legal business name
- ALBERTSONS LLC
- Doing business as
- Savon Pharmacy
- Practice address
- 20409 State Road 7
Boca Raton, FL 33498-6741 - Phone
- (561) 487-9946
- Fax
- (561) 487-3270
- NPI assigned
- Jun 1, 2006
- Last updated
- Nov 25, 2009
- 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
- Dan Johnson
- Title
- Manager Managed Healthcare
- Phone
- (208) 395-3436
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 10532 | FL | Primary |
Addresses
Primary practice location
20409 State Road 7
Boca Raton, FL 33498-6741
Mailing address
3030 Cullerton St
Franklin Park, IL 60131-2205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1061807 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 031474900 | Medicaid | FL |
Other names 1
- SAVON PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Wenjest Corporation
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
20409 State Road 7
Boca Raton, FL 33498
Phone (561) 487-9946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259107200000",
"number": "1437196987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 CULLERTON ST",
"city": "FRANKLIN PARK",
"state": "IL",
"postal_code": "601312205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20409 STATE ROAD 7",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334986741",
"telephone_number": "561-487-9946",
"fax_number": "561-487-3270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERTSONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2009-11-25",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "MANAGER MANAGED HEALTHCARE",
"authorized_official_telephone_number": "208-395-3436"
},
"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": "FL",
"license": "10532",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "1061807",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031474900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAVON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.