Provider Demographics
NPI:1295214104
Name:SAVCARE HEALTH CO
Entity Type:Organization
Organization Name:SAVCARE HEALTH CO
Other - Org Name:SAVCARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GM
Authorized Official - Prefix:
Authorized Official - First Name:AJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-765-1616
Mailing Address - Street 1:15 PAYSON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:02035-1394
Mailing Address - Country:US
Mailing Address - Phone:774-765-1616
Mailing Address - Fax:774-765-1617
Practice Address - Street 1:15 PAYSON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:FOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:02035-1394
Practice Address - Country:US
Practice Address - Phone:774-765-1616
Practice Address - Fax:774-765-1617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
MA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110145643AMedicaid
RIPHN11568Medicaid