SAVON PHARMACY (NPI# 1255670683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255670683 |
| Entity Type | Organization |
| Organization Name | SAVON PHARMACY |
| Other Organization Name | NEW ALBERTSONS FORMERLY SUPERVALU |
| Practice Address |
1653 S Vista Ave Pharmacy Boise ID 83705-3172 |
| Mailing Address |
660 S Clearwater Ln Apt 102 Boise ID 83712-7746 |
| Practice Telephone | 2083313007 |
| Mailing Telephone | 2088302453 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | ERICA ZELICKOWSKI (PHARMACIST) |
| Authorized Official Telephone | 2088302453 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
17649 | NV | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
P6676 | ID | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| New Albertsons formerly Supervalu | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679016547 | Savon Pharmacy | Community/Behavioral Health | 3322 132nd St Se, Mill Creek, WA 98012-5654 | 2016-11-28 |
| 1750736583 | Savon Pharmacy | Clinic/Center | 8850 Foothill Blvd, Rancho Cucamonga, CA 91730-3334 | 2016-04-29 |
| Street Address |
1653 S VISTA AVE PHARMACY |
| City | BOISE |
| State | ID |
| Zip Code | 83705-3172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255379491 | Albertsons LLC | Pharmacy | 1653 S Vista Ave, Boise, ID 83705 | 2006-06-02 |
| 1811559685 | Jordan Elwell | Pharmacy Technician | 1653 S Vista Ave, Boise, ID 83705 | 2019-07-02 |
| 1952805129 | Dennis Edward Brown | Pharmacist | 1653 S Vista Ave, Boise, ID 83705-3172 | 2018-03-21 |
| 1881981306 | Larry A Stoneberg | Pharmacist | 1653 S Vista Ave, Boise, ID 83705-3172 | 2011-07-05 |
| 1114213956 | Terry L Smith | Pharmacist | 1653 S Vista Ave, Boise, ID 83705-3172 | 2011-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417595067 | Teresa Janeen Newsom | Pharmacist | 2840 S Swallowtail Ln, Boise, ID 83706-6138 | 2019-12-13 |
| 1932496650 | Charlotte Loring | Pharmacist | 909 E Park Center B;vd, Boise, ID 83706 | 2011-07-01 |
| 1700435542 | Kaitlyn Marie Holyfield | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2019-09-04 |
| 1861904153 | Emily Muehlhausen | Pharmacist | 5005 W Overland Rd, Boise, ID 83705-2633 | 2017-10-26 |
| 1619350139 | Sarah Mcclain | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2015-07-01 |
| 1043693609 | Laura Schultz | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2015-07-01 |
| 1508245937 | Jefferson Bohan | Pharmacist | 500 W Fort St, Buildling T111, Boise, ID 83702-4501 | 2015-05-19 |
| 1700294923 | Anthony Nelson | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2014-07-31 |
| 1013339415 | Lynnan Nielson | Pharmacist | 10255 W Overland Rd, Boise, ID 83709-1430 | 2014-01-20 |
| 1609110089 | Joshua M Gerving | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2012-11-26 |
| Find all providers in BOISE | ||||
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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.