Organization
ALBERTSONS LLC
Active
Other names
Albertsons Pharmacy #4102
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
1201 N SAGINAW BLVD, SAGINAW, TX 76179-1145
(817) 232-3877
(817) 232-1626
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
22227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2098216
PK
—
05
—
465331
—
TX
Enumeration date
06/01/2006
Last updated
06/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us