LUCKY STORES II LLC (NPI# 1306883731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306883731 |
| Entity Type | Organization |
| Organization Name | LUCKY STORES II LLC |
| Other Organization Name | SAVON PHARMACY |
| Practice Address |
1951 Holmes St Livermore CA 94550-6015 |
| Practice Telephone | 9254477762 |
| Practice Fax Number | 9254474375 |
| Enumeration Date | 2006-06-02 |
| 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 | PHY40906 | CA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0521460 | 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 |
| 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 |
| 1942247374 | Lucky Stores II LLC | Pharmacy | 1515 Sloat Blvd, San Francisco, CA 94132-1222 | 2006-06-02 |
| Street Address |
1951 HOLMES ST |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326600768 | Leslee Russell | Pharmacist | 1951 Holmes St, Livermore, CA 94550-6015 | 2019-07-06 |
| 1619216652 | Tina Camanh Li | Pharmacist | 1951 Holmes St, Livermore, CA 94550-6015 | 2013-02-12 |
| 1801930979 | Save Mart Supermarkets | Pharmacy | 1951 Holmes St, Livermore, CA 94550-6015 | 2007-02-20 |
| 1174602510 | Phillip Otto Lubina | Pharmacist | 1951 Holmes St, Livermore, CA 94550-6015 | 2006-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| 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 |
|---|---|---|---|---|
| 1578500906 | Lucky Stores II LLC | Pharmacy | 2000 Portola Ave, Livermore, CA 94551-1762 | 2006-06-02 |
| 1760883862 | Pooles Pharmacy Care Inc | Pharmacy | 104 E 4th St, Livermore, KY 42352-2154 | 2014-09-08 |
| 1457408783 | Kaiser Foundation Hospitals | Pharmacy | 300 Pullman St, Livermore, CA 94551-9756 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LUCKY STORES II LLC.
| 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.