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ALBERTSONS LLC NPI 1457880940


NPI Information

NPI: 1457880940
Provider Name: ALBERTSONS LLC

Doing Business As: ALBERTSONS PHARMACY

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization

CLIA Number: 13D1035486

Address:
1219 S BROADWAY AVE
BOISE, ID
ZIP 83706
Phone: (208) 433-9905
Get Directions

ALBERTSONS LLC is a dietitian registered in Boise, ID. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. ALBERTSONS LLC NPI is 1457880940. The provider is registered as an organization entity type.
The provider Is Doing Business As Albertsons Pharmacy.

The provider's business location address is:

1219 S BROADWAY AVE
BOISE, ID
ZIP 83706
Phone: (208) 433-9905
Fax: (208) 433-9907

The provider's authorized official is Tiffany Eliopulos .
The authorized official title is Asst Mgr, Pharmacy Enrollments and has the following contact phone number (208) 395-3906.

The CLIA number assigned to this NPI record is 13D1035486 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2017 and was last updated on 8/10/2018.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2133V00000XDietitian, RegisteredYes

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
120011403OTHERIDAHONORIDIAN PROVIDER NO

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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