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ALBERTSONS LLC NPI 1255379491


NPI Information

NPI: 1255379491
Provider Name: ALBERTSONS LLC

Doing Business As: SAV-ON PHARMACY #0193

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 13D1036462

Address:
1653 S VISTA AVE
BOISE, ID
ZIP 83705
Phone: (208) 331-3007
Get Directions

ALBERTSONS LLC is a community/retail pharmacy pharmacy in Boise, ID. The provider is 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. ALBERTSONS LLC NPI is 1255379491. The provider is registered as an organization entity type.
The provider Is Doing Business As Sav-on Pharmacy #0193.

The provider's business location address is:

1653 S VISTA AVE
BOISE, ID
ZIP 83705
Phone: (208) 331-3007
Fax: (208) 331-3029

The provider's authorized official is Kathy Giannakopoulos .
The authorized official title is Enrollment Manager and has the following contact phone number (208) 395-3954.

The CLIA number assigned to this NPI record is 13D1036462 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 4/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail Pharmacy21082RPIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1807493700MEDICAIDIDAHO
22020576OTHERPK
3002256300MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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