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ALBERTSONS LLC NPI 1891964300


NPI Information

NPI: 1891964300
Provider Name: ALBERTSONS LLC

Doing Business As: SAV-ON PHARMACY #0171

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 13D1096461

Address:
490 N 2ND E
REXBURG, ID
ZIP 83440
Phone: (208) 542-2088
Get Directions

ALBERTSONS LLC is a community/retail pharmacy pharmacy in Rexburg, 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 1891964300. The provider is registered as an organization entity type.
The provider Is Doing Business As Sav-on Pharmacy #0171.

The provider's business location address is:

490 N 2ND E
REXBURG, ID
ZIP 83440
Phone: (208) 542-2088
Fax: (208) 542-2089

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 13D1096461 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2008 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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy21054RPIDAHOYes

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
12021995OTHERPK
2808004500MEDICAIDIDAHO

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: 11/14/2023

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