Organization Active NPI

Savon #6563

Doing business as Albertsons

  • Community/Retail Pharmacy
  • San Clemente, CA
National Provider Identifier
1700258746
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
56061 Issued in CA
Legal business name
SAVON #6563
Doing business as
Albertsons
Practice address
989 Avenida Pico
San Clemente, CA 92673-3908
Phone
(949) 369-5596
NPI assigned
Oct 29, 2015
Last updated
Oct 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Mr. Ken OngNPI 1972958668
Title
Pharmacist/Manager
Phone
(949) 369-5596

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 56061 CA Primary

Addresses

Primary practice location

989 Avenida Pico
San Clemente, CA 92673-3908

Mailing address

989 Avenida Pico
San Clemente, CA 92673-3908
Phone (949) 369-5596

Other names 1

  • Albertsons Doing business as

National Provider Directory

National Provider Directory

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": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1700258746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 AVENIDA PICO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733908",
            "telephone_number": "949-369-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 AVENIDA PICO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733908",
            "telephone_number": "949-369-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVON #6563",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "949-369-5596",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "56061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albertsons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.