LUCKY STORES II LLC (NPI# 1033156468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033156468 |
| Entity Type | Organization |
| Organization Name | LUCKY STORES II LLC |
| Other Organization Name | SAVON PHARMACY |
| Practice Address |
5510 Monterey Rd San Jose CA 95138-1529 |
| Practice Telephone | 4089728742 |
| Practice Fax Number | 4089721658 |
| 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 | PHY39239 | CA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0534380 | 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 |
5510 MONTEREY RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95138-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1548690324 | Megan Chang | Occupational Therapist | 5900, Pistoia Way, San Jose, CA 95138 | 2013-11-15 |
| 1720428410 | Cristina Duenas | Social Worker | 5855 Silver Creek Valley Pl, San Jose, CA 95138 | 2013-06-27 |
| 1174967079 | Guardian Sleep Clinic, LLC | Clinical Medical Laboratory | 315 Piercy Rd, San Jose, CA 95138 | 2013-04-22 |
| 1871847889 | Rebecca Kerry Van Sickle | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2012-10-30 |
| 1366720906 | Ariosa Diagnostics, Inc. | Clinical Medical Laboratory | 5945 Optical Court, San Jose, CA 95138 | 2011-08-01 |
| 1043406713 | Umaru Fofana | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138 | 2007-09-17 |
| 1316140569 | Dickman & Bourla Chiropractic Inc | Chiropractor | 2311 Silver Breeze Ct, San Jose, CA 95138 | 2007-06-06 |
| 1508983032 | Traci Pickett | Counselor | 9500 Malech Road, San Jose, CA 95138 | 2007-03-22 |
| Find all providers in zip 95138 | ||||
| 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] |
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| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1508403841 | Kc Pharmacy Corporation | Pharmacy | 2060 Aborn Rd Ste 150b, San Jose, CA 95121-1587 | 2019-12-05 |
| 1902307358 | Kaiser Foundation Health Plan Inc | Pharmacy | 1721 Technology Dr Fl 1, San Jose, CA 95110-1305 | 2018-02-21 |
| 1184178063 | Drogueria San Jose Inc | Pharmacy | 25 N 14th St Ste 168, San Jose, CA 95112-6204 | 2016-08-09 |
| 1578919510 | Leiters Enterprises Inc | Pharmacy | 6541 Via Del Oro Ste B, San Jose, CA 95119-1207 | 2016-05-09 |
| 1861852030 | Evergreen Pharmacy Inc | Pharmacy | 2365 Quimby Rd Ste 150, San Jose, CA 95122-1337 | 2016-03-02 |
| 1497124689 | Tt Pharmacy | Pharmacy | 1863 Alum Rock Ave Ste A, San Jose, CA 95116-1397 | 2015-09-18 |
| 1619345527 | Botika Inc | Pharmacy | 1939 Monterey Hwy Ste 2, San Jose, CA 95112-6149 | 2015-09-09 |
| Find all providers in SAN JOSE | ||||
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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.