NPIMap

Organization Active NPI

Albertsons LLC

Doing business as Savon Pharmacy

  • Community/Retail Pharmacy
  • Allen, TX
National Provider Identifier
1669419123
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
TX19522 Issued in TX
Legal business name
ALBERTSONS LLC
Doing business as
Savon Pharmacy
Practice address
2031 W McDermott Dr
Allen, TX 75013-4716
Phone
(214) 495-0386
Fax
(214) 495-0148
NPI assigned
Jun 1, 2006
Last updated
Dec 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Julie Schreiner
Title
Manager Plan Implementation
Phone
(847) 916-4711

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X TX19522 TX Primary

Addresses

Primary practice location

2031 W McDermott Dr
Allen, TX 75013-4716

Mailing address

3030 Cullerton St
Franklin Park, IL 60131-2205

Other identifiers 2

IdentifierTypeStateIssuer
4508757OtherNCPDP PROVIDER IDENTIFICATION NUMBER
464297MedicaidTX

Other names 1

  • SAVON PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wenjest Corporation388 organizations share this tax ID, including this one

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.

View all 24

Locations

2031 W McDermott Dr
Allen, TX 75013
Phone (214) 495-0386

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": "1230595200000",
    "number": "1669419123",
    "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": "2031 W MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134716",
            "telephone_number": "214-495-0386",
            "fax_number": "214-495-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTSONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGER PLAN IMPLEMENTATION",
        "authorized_official_telephone_number": "847-916-4711"
    },
    "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": "TX",
            "license": "TX19522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4508757",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464297",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAVON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.