Active NPI
Savon #6563
Doing business as Albertsons
- Community/Retail Pharmacy
- San Clemente, CA
National Provider Identifier
1700258746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 56061
- 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, 2015
- 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
- Mr. Ken Ong
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- San Clemente, CA
- NPI 1972958668
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.