NPIMap

Organization Active NPI

Sav-on Drug Stores Inc

Doing business as Laguna Beach Pharmacy

  • Community/Retail Pharmacy
  • Laguna Beach, CA
National Provider Identifier
1992287981
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAV-ON DRUG STORES INC
Doing business as
Laguna Beach Pharmacy
Practice address
944 Glenneyre St
Laguna Beach, CA 92651-2717
Phone
(949) 494-6585
Fax
(949) 497-8679
NPI assigned
Sep 5, 2018
Last updated
Sep 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Amanda Ta
Title
Owner / Pic
Phone
(949) 494-6585

Specialties & licenses 1

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

Addresses

Primary practice location

944 Glenneyre St
Laguna Beach, CA 92651-2717

Mailing address

944 Glenneyre St
Laguna Beach, CA 92651-2717
Phone (949) 494-6585

Other names 1

  • Laguna Beach Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170210000668 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3173806429 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laguna Beach, CA; Moreno Valley, CA; Corcoran, CA; Garden Grove, CA; Hesperia, CA
O20190118002751 CA DME Supplier - Pharmacy 3173806429 Practice locations: Laguna Beach, CA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Laguna Beach Pharmacy944 Glenneyre St, Laguna Beach, CA 92651-2717(949) 494-6585 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Apr 30, 2016

National Provider Directory

National Provider Directory
Tax ID family
Sav-on Drug Stores Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

944 Glenneyre St
Laguna Beach, CA 92651
Phone (949) 494-6585

12930 Day St
Ste 103
Moreno Valley, CA 92553
Phone (951) 840-3889

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1992287981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 GLENNEYRE ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512717",
            "telephone_number": "949-494-6585",
            "fax_number": "949-497-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 GLENNEYRE ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512717",
            "telephone_number": "949-494-6585",
            "fax_number": "949-497-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAV-ON DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "949-494-6585"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Beach Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.