SAVE MART SUPERMARKETS (NPI# 1891839965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891839965 |
| Entity Type | Organization |
| Organization Name | SAVE MART SUPERMARKETS |
| Other Organization Name | LUCKY PHARMACY #714 |
| Practice Address |
5000 Mowry Ave Fremont CA 94538-1045 |
| Mailing Address |
Po Box 4278 Modesto CA 95352-4278 |
| Practice Telephone | 5107449330 |
| Practice Fax Number | 5107449518 |
| Mailing Telephone | 5107449330 |
| Mailing Fax Number | 5107449518 |
| 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 |
|---|---|---|---|
| CA | STATE PERMIT | PHY48519 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5625364 | 01 | |
| CA | DEA | FS0160589 | 01 |
| Other Name | Type Code |
|---|---|
| LUCKY PHARMACY #714 | 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 |
5000 MOWRY AVE |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861439291 | Lucky Stores II LLC | Pharmacy | 5000 Mowry Ave, Fremont, CA 94538-1045 | 2006-06-02 |
| 1487974242 | Trang Thuy Nguyen | Pharmacist | 5000 Mowry Ave, Fremont, CA 94538-1045 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| 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 |
|---|---|---|---|---|
| 1568992857 | Lindenwood Rx, Inc | Pharmacy | 1860 Mowry Avenuew, Suite 102, Fremont, CA 94538-0300 | 2017-06-19 |
| 1770681827 | Grund Drug Co | Pharmacy | 227 S. Front St, Fremont, OH 43420 | 2006-09-20 |
| 1437261443 | Lewton and Assoc Health Care Service | Pharmacy | 824 W State St, Fremont, OH 43420-2538 | 2006-08-31 |
| 1548203862 | Longs Drug Stores California LLC | Pharmacy | 46445 Mission Blvd, Fremont, CA 94539-7909 | 2006-06-14 |
| 1881637676 | Longs Drug Stores California LLC | Pharmacy | 4020 Fremont Hub, Fremont, CA 94538-1322 | 2006-06-13 |
| 1609818426 | Longs Drug Stores California LLC | Pharmacy | 35720 Fremont Blvd, Fremont, CA 94536-3421 | 2006-06-13 |
| 1316498421 | Pansmart Inc | Pharmacy | 2557 Mowry Ave, Suite # 11, Fremont, CA 94538-1603 | 2016-10-24 |
| 1356699722 | Mowry Plaza Pharmacy Inc | Pharmacy | 668 Mowry Ave, Fremont, CA 94536-4113 | 2012-08-16 |
| 1518249432 | Walgreens | Pharmacy | 2600 Mowry Ave, Fremont, CA 94538-1619 | 2011-09-16 |
| 1174667240 | Save Mart Supermarkets | Pharmacy | 40055 Mission Blvd, Fremont, CA 94539-3680 | 2007-02-20 |
| Find all providers in FREMONT | ||||
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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.