Active NPI
Lucky Stores II LLC
Doing business as Savon Pharmacy
- Community/Retail Pharmacy
- Santa Rosa, CA
National Provider Identifier
1922046184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- LUCKY STORES II LLC
- Doing business as
- Savon Pharmacy
- Practice address
- 915 Montgomery Village Court
Santa Rosa, CA 95405 - Phone
- (707) 542-1879
- Fax
- (707) 542-4615
- NPI assigned
- Jun 2, 2006
- 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
- Lorenzo Torres
- Title
- New Store Enrollments
- Phone
- (847) 916-4463
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY46285 | CA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
915 Montgomery Village Court
Santa Rosa, CA 95405
Mailing address
915 Montgomery Village Court
Santa Rosa, CA 95405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0588624 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- SAVON PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Lucky Stores II LLC
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1922046184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 MONTGOMERY VILLAGE COURT",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 MONTGOMERY VILLAGE COURT",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405",
"telephone_number": "707-542-1879",
"fax_number": "707-542-4615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCKY STORES II LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "LORENZO",
"authorized_official_title_or_position": "NEW STORE ENROLLMENTS",
"authorized_official_telephone_number": "847-916-4463"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY46285",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0588624",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAVON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.