Organization Active NPI

Savco Generic Pharmacy

  • Pharmacist
  • San Jose, CA
National Provider Identifier
1902980105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26552 Issued in CA
Legal business name
SAVCO GENERIC PHARMACY
Practice address
2101 Forest Ave Ste 122
San Jose, CA 95128-1424
Phone
(408) 298-6664
Fax
(408) 298-4150
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John M Puccinelli, RPH
Title
Manager
Phone
(408) 298-6664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 26552 CA Primary

Addresses

Primary practice location

2101 Forest Ave Ste 122
San Jose, CA 95128-1424

Mailing address

2101 Forest Ave Ste 122
San Jose, CA 95128-1424
Phone (408) 298-6664

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902980105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE STE 122",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281424",
            "telephone_number": "408-298-6664",
            "fax_number": "408-298-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FOREST AVE STE 122",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281424",
            "telephone_number": "408-298-6664",
            "fax_number": "408-298-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVCO GENERIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUCCINELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "408-298-6664",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "26552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.