ALBERTSONS LLC


Address: 1653 S Vista Ave, Boise, ID 83705
Phone: 2083313007

ALBERTSONS LLC (NPI# 1255379491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255379491
Entity Type Organization
Organization Name ALBERTSONS LLC
Other Organization Name SAV-ON PHARMACY #0193
Practice Address 1653 S Vista Ave
Boise
ID 83705
Mailing Address 250 E Parkcenter Blvd
Boise
ID 83706-3940
Practice Telephone 2083313007
Practice Fax Number 2083313029
Enumeration Date 2006-06-02
Last Update Date 2020-04-02
Authorized Official Name KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
Authorized Official Telephone 2083953954
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
21082RP ID Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
ID 807493700 05
PK 2020576 01
ID 002256300 05

Other Provider/Organization Names

Other Name Type Code
SAV-ON PHARMACY #0193 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841839123 Albertsons LLC Durable Medical Equipment & Medical Supplies 1929 W San Marcos Blvd, San Marcos, CA 92078-3903 2020-01-03
1265963672 Albertsons LLC Pharmacist 9111 Dyer St, El Paso, TX 79924-6401 2017-03-27
1235678061 Albertsons LLC Durable Medical Equipment & Medical Supplies 7975 Blue Diamond Rd, Las Vegas, NV 89178 2017-02-13
1124572631 Albertsons LLC Durable Medical Equipment & Medical Supplies 1910 N Campus Ave, Upland, CA 91784-1667 2016-08-12
1437603958 Albertsons LLC Durable Medical Equipment & Medical Supplies 2910 Bicentennial Pkwy, Henderson, NV 89044-4477 2016-08-12
1366802233 Albertsons LLC Durable Medical Equipment & Medical Supplies 20 E Wyoming Ave, Homedale, ID 83628-3401 2016-03-04
1568828655 Albertsons LLC Durable Medical Equipment & Medical Supplies 190 N Boulder Hwy, Henderson, NV 89015-5308 2016-01-06
1700241692 Albertsons LLC Durable Medical Equipment & Medical Supplies 8850 Foothill Blvd, Rancho Cucamonga, CA 91730-3305 2015-12-21
1396113510 Albertsons LLC Durable Medical Equipment & Medical Supplies 21001 N Tatum Blvd Ste 76, Phoenix, AZ 85050-4239 2015-09-03
1336449024 Albertsons LLC Durable Medical Equipment & Medical Supplies 1018 Casitas Pass Rd, Carpinteria, CA 93013 2010-10-27

Office Location

Street Address 1653 S VISTA AVE
City BOISE
State ID
Zip Code 83705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811559685 Jordan Elwell Pharmacy Technician 1653 S Vista Ave, Boise, ID 83705 2019-07-02
1952805129 Dennis Edward Brown Pharmacist 1653 S Vista Ave, Boise, ID 83705-3172 2018-03-21
1255670683 Savon Pharmacy Pharmacist 1653 S Vista Ave, Pharmacy, Boise, ID 83705-3172 2013-02-05
1881981306 Larry A Stoneberg Pharmacist 1653 S Vista Ave, Boise, ID 83705-3172 2011-07-05
1114213956 Terry L Smith Pharmacist 1653 S Vista Ave, Boise, ID 83705-3172 2011-06-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053938779 Halo Health Services LLC Community/Behavioral Health 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 2020-06-29
1598265860 Felica Jo Duce Counselor 921 S Orchard St Ste 103, Boise, ID 83705 2018-02-13
1215364278 Erica Zelickowski Pharmacist 1653 S Vista Avenue, Boise, ID 83705 2013-10-04
1952655490 Aida Dizdar-barac Social Worker 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 2012-11-06
1033461033 Julie Marie Meek Social Worker 3324 W Elder St, Boise, ID 83705 2012-10-15
1568761112 Berkeley Fraser Pharmacist 3527 S Federal Way Suite 104, Boise, ID 83705 2011-03-22
1922311042 Amber Vania Family Medicine 4971 W. Overland Road, Boise, ID 83705 2010-07-18
1295056836 Cherise M Wetzel Social Worker 1625 S Eagleson Rd, B1, Boise, ID 83705 2010-06-17
1558685305 Rae Ann Norell Social Worker 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 2010-03-23
1164679932 Oreana Harless Social Worker 2550 South Vista Ave, Boise, ID 83705 2008-08-25
Find all providers in zip 83705

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477870103 Walgreen Co Pharmacy 6195 S Five Mile Rd, Boise, ID 83709-6202 2010-04-20
1417188632 Hayes Inspirations Pharmacy 286 N Maple Grove Rd, Boise, ID 83704-8239 2009-08-05
1578615530 Drugs Inc Pharmacy 1221 Broadway Ave, Boise, ID 83706-3701 2007-01-18
1407966229 Innovative Care Pharmacy Pharmacy 9196 W Emerald St, Ste 110, Boise, ID 83704-0679 2006-08-30
1134134257 Walgreen Co Pharmacy 6725 N Glenwood St, Boise, ID 83714-1926 2006-07-29
1750840419 Jacob Fuchs Pharmacy 801 S Vista Ave, Boise, ID 83705-2424 2019-03-12
1619441383 Safeway Inc Pharmacy 250 E Parkcenter Blvd, Boise, ID 83706-3940 2019-01-16
1649770876 Albertsons Companies Inc Pharmacy 250 E Parkcenter Blvd, Boise, ID 83706-3940 2018-02-14
1316462393 Albertsons Companies LLC Pharmacy 250 E Parkcenter Blvd, Boise, ID 83706-3940 2017-08-10
1861917858 Medcart Specialty Care LLC Pharmacy 250 E Parkcenter Blvd, Boise, ID 83706-3940 2017-08-10
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83705

Improve Information

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Dataset Information

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.

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