SAVE MART SUPERMARKETS (NPI# 1073657144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073657144 |
| Entity Type | Organization |
| Organization Name | SAVE MART SUPERMARKETS |
| Other Organization Name | LUCKY PHARMACY #705 |
| Practice Address |
5190 Clayton Rd Concord CA 94521-3102 |
| Mailing Address |
Po Box 4278 Modesto CA 95352-4278 |
| Practice Telephone | 9256805121 |
| Practice Fax Number | 9256807493 |
| Mailing Telephone | 9256805121 |
| Mailing Fax Number | 9256807493 |
| 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 | 5625465 | 01 | |
| CA | DEA | FS0160527 | 01 |
| CA | STATE PERMIT | PHY48482 | 01 |
| Other Name | Type Code |
|---|---|
| LUCKY PHARMACY #705 | 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 |
5190 CLAYTON RD |
| City | CONCORD |
| State | CA |
| Zip Code | 94521-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659318319 | Lucky Stores II LLC | Pharmacy | 5190 Clayton Rd, Concord, CA 94521-3102 | 2006-06-01 |
| 1801458377 | Sima K Sabet | Pharmacist | 5190 Clayton Rd, Concord, CA 94521-3102 | 2019-07-03 |
| 1275192791 | Humeira Ahmed | Pharmacist | 5190 Clayton Rd, Concord, CA 94521-3102 | 2019-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184169229 | Bronze Owl LLC | Non-emergency Medical Transport (VAN) | 1424 Cape Cod Way, Concord, CA 94521 | 2016-12-28 |
| 1245617620 | Magnolia Guest Home LLC | Assisted Living Facility | 1639 Fairwood Dr, Concord, CA 94521 | 2015-05-05 |
| 1326436387 | Yolanda Rosemarie Overton | Counselor | 2191 Kirker Pass Road, Concord, CA 94521 | 2014-12-29 |
| 1174872063 | Clayton Valley Charter High School | Local Education Agency (LEA) | 1101 Alberta Way, Concord, CA 94521 | 2012-09-06 |
| 1720365026 | Danielle Liane Allen | Occupational Therapist | 4367 Concord Blvd., Concord, CA 94521 | 2011-11-15 |
| 1003095951 | Bita Louise Matin | Dentist | 1494 Balhan Dr, Concord, CA 94521 | 2007-10-29 |
| 1265567333 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4118 Phoenix St, Concord, CA 94521 | 2007-02-22 |
| 1780729392 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4160 Phoenix St, Concord, CA 94521 | 2007-02-21 |
| 1528121118 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 5166 Sutherland Dr, Concord, CA 94521 | 2006-12-18 |
| 1407918576 | Horace Joseph Beach | Psychologist | 1460 Washington Blvd Ste C-6, Concord, CA 94521 | 2006-12-15 |
| Find all providers in zip 94521 | ||||
| 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 |
|---|---|---|---|---|
| 1326525551 | Genoa Healthcare, LLC | Pharmacy | 10 West St Ste P, Concord, NH 03301-3548 | 2018-07-20 |
| 1700385648 | Pharm90, LLC | Pharmacy | 1800 Monument Blvd Ste L, Concord, CA 94520-3871 | 2018-02-06 |
| 1619299146 | Kmart Corporation | Pharmacy | 545 Concord Pkwy N, Concord, NC 28027-6738 | 2010-02-25 |
| 1588991954 | Tsp First Health LLC | Pharmacy | 2030 Diamond Blvd, Concord, CA 94520-5702 | 2009-11-05 |
| 1912043829 | Modern Pharmacy | Pharmacy | 5 Clinton St, Concord, NH 03301-2303 | 2007-01-29 |
| 1609939438 | Geer Enterprises, Inc. | Pharmacy | 807 Davidson Dr Nw, Concord, NC 28025-4351 | 2006-12-19 |
| 1376642728 | Cvs Pharmacy Inc | Pharmacy | 199 Sudbury Rd, Concord, MA 01742-3466 | 2006-09-22 |
| 1295838977 | North Carolina Cvs Pharmacy LLC | Pharmacy | 931 Concord Pkwy N, Concord, NC 28027-5944 | 2006-09-07 |
| 1841300456 | Costco Wholesale Corporation | Pharmacy | 2400 Monument Blvd, Concord, CA 94520 | 2006-08-30 |
| 1922015924 | Walgreen Co | Pharmacy | 5230 Poplar Tent Rd, Concord, NC 28027-7757 | 2006-08-02 |
| Find all providers in CONCORD | ||||
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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.