SAVE MART SUPERMARKETS (NPI# 1871638767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871638767 |
| Entity Type | Organization |
| Organization Name | SAVE MART SUPERMARKETS |
| Other Organization Name | LUCKY PHARMACY #776 |
| Practice Address |
915 Montgomery Village Ct Santa Rosa CA 95405 |
| Practice Telephone | 7075426519 |
| Practice Fax Number | 7075424615 |
| Mailing Telephone | 7075421879 |
| Mailing Fax Number | 7075424615 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | DR. MICHELE SNIDER (SENIOR DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 2095746220 |
| Authorized Official Credential | PHARM D |
| 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 | 5625251 | 01 | |
| CA | DEA | FS0163484 | 01 |
| Other Name | Type Code |
|---|---|
| LUCKY PHARMACY #776 | 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 |
915 MONTGOMERY VILLAGE CT |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| 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 |
|---|---|---|---|---|
| 1245873124 | Marin Apothecaries Inc | Pharmacy | 3569a Round Barn Cir, Santa Rosa, CA 95403-1757 | 2019-10-23 |
| 1770999708 | Marin Apothecaries Inc | Pharmacy | 1300 N Dutton Ave Ste 100, Santa Rosa, CA 95401-7112 | 2014-07-10 |
| 1114037728 | Costco Wholesale Corporation | Pharmacy | 1900 Santa Rosa Ave, Santa Rosa, CA 95407-7621 | 2006-08-30 |
| 1619911062 | Longs Drug Stores California LLC | Pharmacy | 2771 4th St, Santa Rosa, CA 95405-4726 | 2006-06-16 |
| 1649212457 | Longs Drug Stores California LLC | Pharmacy | 2700 Yulupa Ave, Santa Rosa, CA 95405-8577 | 2006-06-13 |
| 1659313468 | Longs Drug Stores California LLC | Pharmacy | 463 Stony Point Rd, Santa Rosa, CA 95401-5900 | 2006-06-13 |
| 1093153850 | Guadalupe County | Pharmacy | 117 Camino De Vida, 200, Santa Rosa, NM 88435-2267 | 2013-06-13 |
| 1285782011 | Kaiser Foundation Health Plan Inc | Pharmacy | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2007-01-08 |
| 1497814594 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr, Santa Rosa, CA 95404 | 2006-12-06 |
| 1568572220 | Raleys | Pharmacy | 1407 Fulton Rd, Santa Rosa, CA 95403-1809 | 2006-08-30 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on SAVE MART SUPERMARKETS.
| 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.