NPIMap

Organization Active NPI

Sav on Home Healthcare Supply Inc

  • Community/Retail Pharmacy
  • Imlay City, MI
National Provider Identifier
1669631164
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006101 Issued in MI
Legal business name
SAV ON HOME HEALTHCARE SUPPLY INC
Practice address
2040 S Cedar St
Imlay City, MI 48444-9606
Phone
(810) 724-7692
Fax
(810) 724-6064
NPI assigned
Jun 9, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Andrew J Mac, R.PH.NPI 1114193554
Title
Vice President - Pharmacy Operation
Phone
(734) 377-3154

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
Durable Medical Equipment & Medical Supplies 332B00000X 5301006101 MI
Community/Retail Pharmacy 3336C0003X 5301006101 MI Primary

Addresses

Primary practice location

2040 S Cedar St
Imlay City, MI 48444-9606

Mailing address

21120 Bridge St
Southfield, MI 48033-4032
Phone (248) 357-4550

Other identifiers 4

IdentifierTypeStateIssuer
4838959MedicaidMI
540D402840OtherMIBLUE CROSS BLUE SHIELD MICHIGAN DME PROVIDER ID
2353453OtherMINCPDP IDENTIFICATION NUMBER
5301006101OtherMIMICHIGAN PHARMACY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Sav on Home Healthcare Supply Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

2040 S Cedar St
Imlay City, MI 48444
Phone (810) 724-7692

21120 Bridge St
Southfield, MI 48033

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1669631164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21120 BRIDGE ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334032",
            "telephone_number": "248-357-4550",
            "fax_number": "248-357-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 S CEDAR ST",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449606",
            "telephone_number": "810-724-7692",
            "fax_number": "810-724-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAV ON HOME HEALTHCARE SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MAC",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT - PHARMACY OPERATION",
        "authorized_official_telephone_number": "734-377-3154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5301006101",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4838959",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MICHIGAN DME PROVIDER ID",
            "identifier": "540D402840",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP IDENTIFICATION NUMBER",
            "identifier": "2353453",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN PHARMACY LICENSE",
            "identifier": "5301006101",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Imlay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.