Organization
ALBERTSONS LLC
Active
Other names
Sav-On Pharmacy #3531
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
16199 BOONES FERRY RD, LAKE OSWEGO, OR 97035-4201
(503) 635-0914
(503) 635-6633
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002079-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487009296
—
OR
01
—
2159944
PK
—
Enumeration date
04/29/2016
Last updated
04/03/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up