SAVE MART SUPERMARKETS (NPI# 1174667240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174667240 |
| Entity Type | Organization |
| Organization Name | SAVE MART SUPERMARKETS |
| Other Organization Name | LUCKY PHARMACY #711 |
| Practice Address |
40055 Mission Blvd Fremont CA 94539-3680 |
| Mailing Address |
Po Box 4278 Modesto CA 95352-4278 |
| Practice Telephone | 5106575280 |
| Practice Fax Number | 5106575318 |
| Mailing Telephone | 5106575280 |
| Mailing Fax Number | 5106575318 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-04-21 |
| Authorized Official Name | ROBERT VAUGHAN (EXECUTIVE DIRECTOR, PHARMACY) |
| Authorized Official Telephone | 2095746220 |
| Authorized Official Credential | R.PH., MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5625340 | 01 | |
| CA | STATE PERMIT | PHY48460 | 01 |
| CA | DEA | FS0160565 | 01 |
| Other Name | Type Code |
|---|---|
| LUCKY PHARMACY #711 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073086476 | Save Mart Supermarkets | Pharmacy | 6636 Clark Rd, Paradise, CA 95969-3554 | 2019-01-08 |
| 1376072546 | Save Mart Supermarkets | Pharmacy | 2920 E Whitmore Ave, Ceres, CA 95307-2824 | 2017-06-09 |
| 1962939728 | Save Mart Supermarkets | Pharmacy | 1400 S Mercey Springs Rd, Los Banos, CA 93635-4928 | 2017-05-11 |
| 1093978116 | Save Mart Supermarkets | Pharmacy | 1225 E Robertson Blvd, Chowchilla, CA 93610-8540 | 2008-07-09 |
| 1316124407 | Save Mart Supermarkets | Pharmacy | 2237 Claribel Rd, Riverbank, CA 95367-9473 | 2008-01-30 |
| 1710021886 | Save Mart Supermarkets | Pharmacy | 3000 E 9th St, Oakland, CA 94601-2937 | 2007-02-20 |
| 1861536948 | Save Mart Supermarkets | Pharmacy | 5750 N 1st St, Fresno, CA 93710-6204 | 2007-02-20 |
| 1043354129 | Save Mart Supermarkets | Pharmacy | 146 W East Ave, Chico, CA 95926-7200 | 2007-02-20 |
| 1730224619 | Save Mart Supermarkets | Pharmacy | 195 W Plumb Ln, Reno, NV 89509-3450 | 2007-02-20 |
| 1598800484 | Save Mart Supermarkets | Pharmacy | 1453 Goodwin Dr, Ripon, CA 95366 | 2007-02-20 |
| Street Address |
40055 MISSION BLVD |
| City | FREMONT |
| State | CA |
| Zip Code | 94539-3680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093752768 | Albertsons LLC | Pharmacy | 40055 Mission Blvd, Fremont, CA 94539-3680 | 2006-06-01 |
| 1912568064 | Thuymien Thanh Le | Pharmacist | 40055 Mission Blvd, Fremont, CA 94539-3680 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073553 | Anna Maria Lukasik | Physical Therapist | 863 Ridgevie Terrace, Fremont, CA 94539 | 2020-01-28 |
| 1295264653 | Trevor Glenn Addison | Emergency Medicine | 1620 Pajaro Ct., Fremont, CA 94539 | 2017-06-08 |
| 1194261941 | Jianying Liang | Acupuncturist | 46292 Warm Springs Blvd Unit 638, Fremont, CA 94539 | 2017-01-17 |
| 1447604525 | Infusion Express of California Inc | Clinic/Center | 43360 Mission Blvd, Suite 100, Fremont, CA 94539 | 2016-04-14 |
| 1932586989 | Kathren J Michela | Specialist/Technologist, Other | 47063 Benns Terr, Fremont, CA 94539 | 2015-04-29 |
| 1518367846 | Golder Stone International, Inc | Clinic/Center | 46249 Warm Springs Blve Suite 1, Fremont, CA 94539 | 2014-08-22 |
| 1619397858 | Yuan Si | Acupuncturist | 43433 Mission Blvd, Suite 102, Fremont, CA 94539 | 2014-04-25 |
| 1376883256 | Gifty Aidoo | Nurse Practitioner | 39654 Mission Blvd, Fremont, CA 94539 | 2013-02-28 |
| 1811243892 | Pushpa Dewanimal Jagtiani | Internal Medicine | 702 Patriot Place, Fremont, CA 94539 | 2012-07-27 |
| 1053674614 | Nishi Shahi | Pharmacist | 1934 Vinehill Circle, Fremont, CA 94539 | 2012-06-19 |
| Find all providers in zip 94539 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568992857 | Lindenwood Rx, Inc | Pharmacy | 1860 Mowry Avenuew, Suite 102, Fremont, CA 94538-0300 | 2017-06-19 |
| 1770681827 | Grund Drug Co | Pharmacy | 227 S. Front St, Fremont, OH 43420 | 2006-09-20 |
| 1437261443 | Lewton and Assoc Health Care Service | Pharmacy | 824 W State St, Fremont, OH 43420-2538 | 2006-08-31 |
| 1548203862 | Longs Drug Stores California LLC | Pharmacy | 46445 Mission Blvd, Fremont, CA 94539-7909 | 2006-06-14 |
| 1881637676 | Longs Drug Stores California LLC | Pharmacy | 4020 Fremont Hub, Fremont, CA 94538-1322 | 2006-06-13 |
| 1609818426 | Longs Drug Stores California LLC | Pharmacy | 35720 Fremont Blvd, Fremont, CA 94536-3421 | 2006-06-13 |
| 1316498421 | Pansmart Inc | Pharmacy | 2557 Mowry Ave, Suite # 11, Fremont, CA 94538-1603 | 2016-10-24 |
| 1356699722 | Mowry Plaza Pharmacy Inc | Pharmacy | 668 Mowry Ave, Fremont, CA 94536-4113 | 2012-08-16 |
| 1518249432 | Walgreens | Pharmacy | 2600 Mowry Ave, Fremont, CA 94538-1619 | 2011-09-16 |
| 1891839965 | Save Mart Supermarkets | Pharmacy | 5000 Mowry Ave, Fremont, CA 94538-1045 | 2007-02-20 |
| 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.