LUCKY STORES II LLC (NPI# 1023055787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023055787 |
| Entity Type | Organization |
| Organization Name | LUCKY STORES II LLC |
| Other Organization Name | SAVON PHARMACY |
| Practice Address |
34101 Fremont Blvd Fremont CA 94555-2230 |
| Practice Telephone | 5107949735 |
| Practice Fax Number | 5107940784 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LORENZO TORRES (NEW STORE ENROLLMENTS) |
| Authorized Official Telephone | 8479164463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | PHY39246 | CA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0534847 | 01 |
| Other Name | Type Code |
|---|---|
| SAVON PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922047307 | Lucky Stores II LLC | Pharmacy | 2355 California Blvd, Napa, CA 94559-1062 | 2006-06-04 |
| 1770520108 | Lucky Stores II LLC | Pharmacy | 1465 Main St, Watsonville, CA 95076-3759 | 2006-06-02 |
| 1932146362 | Lucky Stores II LLC | Pharmacy | 700 Gray Ave, Yuba City, CA 95991-3621 | 2006-06-02 |
| 1689611014 | Lucky Stores II LLC | Pharmacy | 129 Bernal Rd, San Jose, CA 95119-1303 | 2006-06-02 |
| 1295772622 | Lucky Stores II LLC | Pharmacy | 291 Mccray St, Hollister, CA 95023-4094 | 2006-06-02 |
| 1760420780 | Lucky Stores II LLC | Pharmacy | 3100 E 9th St, Oakland, CA 94601 | 2006-06-02 |
| 1306883731 | Lucky Stores II LLC | Pharmacy | 1951 Holmes St, Livermore, CA 94550-6015 | 2006-06-02 |
| 1124065552 | Lucky Stores II LLC | Pharmacy | 4220 Florin Rd, Sacramento, CA 95823-2508 | 2006-06-02 |
| 1861439291 | Lucky Stores II LLC | Pharmacy | 5000 Mowry Ave, Fremont, CA 94538-1045 | 2006-06-02 |
| 1760429195 | Lucky Stores II LLC | Pharmacy | 1312 Trancas St, Napa, CA 94558-2912 | 2006-06-02 |
| Street Address |
34101 FREMONT BLVD |
| City | FREMONT |
| State | CA |
| Zip Code | 94555-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142208 | Viet Huynh | Pharmacist | 34101 Fremont Blvd, Fremont, CA 94555-2230 | 2019-09-09 |
| 1770139180 | Trang Thien Vo | Pharmacist | 34101 Fremont Blvd, Fremont, CA 94555-2230 | 2019-08-12 |
| 1184286114 | Vuong Lam | Pharmacist | 34101 Fremont Blvd, Fremont, CA 94555-2230 | 2019-06-29 |
| 1083758155 | Save Mart Supermarkets | Pharmacy | 34101 Fremont Blvd, Fremont, CA 94555-2230 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376902155 | Priya Patel | Dentist | 4615 Rousillon Ave, Fremont, CA 94555 | 2016-02-22 |
| 1285009019 | Ngan Nguyen | Pharmacist | 3321 Hogarth Pl, Fremont, CA 94555 | 2015-12-04 |
| 1992080683 | Bich Nguyen | Pharmacist | 3860 Decoto Road, Fremont, CA 94555 | 2011-10-13 |
| 1992943716 | Huei-ling Chang | Dentist | 4988 Pase Padre Parkway, #204, Fremont, CA 94555 | 2009-02-02 |
| 1396928248 | Uzma Ahmed | Student in an Organized Health Care Education/Training Program | 6124 Northland Ter, Fremont, CA 94555 | 2007-12-14 |
| 1144549684 | Jeffrey Wang, Dds | Dentist | 34420 Fremont Blvd, #c, Fremont, CA 94555 | 2010-05-24 |
| 1538409875 | Christy Lynn Burner | Behavioral Analyst | 3247 Lake Pillsbury Dr, Fremont, CA 94555-1044 | 2013-02-23 |
| 1730401274 | Sveltlana Peng Burkhead | Family Medicine | 4041 Lowry Rd, Fremont, CA 94555-1101 | 2010-02-25 |
| 1972942043 | St. Mary's Home Health Services LLC | Home Health | 33241 Falcon Dr, Fremont, CA 94555-1128 | 2013-06-21 |
| 1407167554 | Inphing Yang | Dentist | 33255 Falcon Dr, Fremont, CA 94555-1129 | 2010-06-23 |
| Find all providers in zip 94555 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568999456 | Fremont Drugstore LLC | Pharmacy | 1900 E Military Ave Ste 220, Fremont, NE 68025-5433 | 2017-05-22 |
| 1821446030 | Jade Pharmacy Inc | Pharmacy | 34460 Fremont Blvd, Suite B, Fremont, CA 94555-3324 | 2016-05-27 |
| 1558717199 | Lifescript Pharmacy | Pharmacy | 39039 Paseo Padre Pkwy Ste 201, Fremont, CA 94538-1618 | 2016-05-12 |
| 1194952382 | Kaiser Foundation Health Plan Inc | Pharmacy | 39400 Paseo Padre Pkwy Fl 2, Niles Bldg, Fremont, CA 94538-2310 | 2009-06-16 |
| 1518056167 | Big A Drug Store Inc | Pharmacy | 3171 Walnut Ave, Fremont, CA 94538-2216 | 2006-10-12 |
| 1093825697 | Costco Wholesale Corporation | Pharmacy | 43621 Pacific Commons Blvd, Fremont, CA 94538 | 2006-08-30 |
| 1700899432 | Miller Pharmacy Inc | Pharmacy | 322 E 22nd St, Fremont, NE 68025-2608 | 2006-08-14 |
| 1417968926 | Miller Pharmacy Inc | Pharmacy | 1900 E Military Ave, Ste 220, Fremont, NE 68025-5494 | 2006-08-10 |
| 1356368534 | Wal-mart Stores East Lp | Pharmacy | 2052 N State Route 53, Fremont, OH 43420-8628 | 2006-07-16 |
| 1891736245 | Dillon Companies LLC | Pharmacy | 1531 N Bell St, Fremont, NE 68025 | 2006-06-09 |
| Find all providers in FREMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.