Organization
ALBERTSONS LLC
Active
Other names
Albertsons Pharmacy #3750
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
4857 GOVERNMENT ST, BATON ROUGE, LA 70806-5908
(225) 216-2309
(225) 216-7170
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
PHY.004016-RC
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1266051
—
LA
01
—
2033733
PK
—
Enumeration date
06/04/2006
Last updated
06/18/2025
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