National Provider Identifier Database

ALBERTSONS LLC
Community/Retail Pharmacy

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.


Contact Information

ALBERTSONS LLC
715 12TH AVE S
NAMPA, ID83651-4254
Phone: 208-466-3592
Fax: 208-463-1392
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for ALBERTSONS LLC

NPI Number 1114973039
Legal business name
LBN
ALBERTSONS LLC
Authorized official KATHY GIANNAKOPOULOS - (ENROLLMENT MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/25/2006
Last updated 04/03/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 21062RP
  • ID Medicaid: 002256200
  • ID Medicaid: 807494300
  • Other: 2019726 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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