Active NPI
Albertsons LLC
Doing business as Savon Pharmacy
- Community/Retail Pharmacy
- Aurora, CO
National Provider Identifier
1902843675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 70000032
- Legal business name
- ALBERTSONS LLC
- Doing business as
- Savon Pharmacy
- Practice address
- 16746 E Smoky Hill Rd
Aurora, CO 80015-2472 - Phone
- (303) 693-2707
- Fax
- (303) 627-4864
- 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 | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 70000032 | CO | Primary |
Addresses
Primary practice location
16746 E Smoky Hill Rd
Aurora, CO 80015-2472
Mailing address
3030 Cullerton St
Franklin Park, IL 60131-2205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0609454 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 08887527 | Medicaid | CO |
Other names 1
- SAVON PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Albertsons Inc 4103
Organizations with this tax ID in the same state 7
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Point of Service
- Louisville, CO
- NPI 1396127452
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": "1902843675",
"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": "16746 E SMOKY HILL RD",
"city": "AURORA",
"state": "CO",
"postal_code": "800152472",
"telephone_number": "303-693-2707",
"fax_number": "303-627-4864"
}
],
"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": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CO",
"license": "70000032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0609454",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08887527",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAVON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Aurora, CO
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.