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OSCO PHARMACY #0065
NPI 1043494545
Pharmacy - Community/Retail Pharmacy in Cheyenne, WY

Active since December 20, 2007CLIA 53D1045556 · Waiver
3355 E PERSHING BLVD, CHEYENNE, WY 82001(307) 635-1155(307) 632-5657 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2018, May 10, 2018, Mar 22, 2016 and 1 more (4 updates tracked since 2016).

About Osco Pharmacy #0065 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSCO PHARMACY #0065 (NPI 1043494545) is a healthcare organization registered as a community/retail pharmacy in Cheyenne, Wyoming and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1043494545
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address3355 E PERSHING BLVDCheyenne, WY 82001-5764
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940 · (847) 916-4463 · Fax (847) 916-4736
Phone(307) 635-1155
Fax(307) 632-5657
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateDecember 20, 2007
Last NPPES UpdateSeptember 11, 20184 updates tracked since enumeration
✔ NPI 1043494545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WY · R10123
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
3355 E PERSHING BLVD, Cheyenne, WY 82001
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Other Names 1

Doing Business AsOsco Pharmacy #0065

Other Identifiers 2

Medicaid125401400WY
Other2111698Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D1045556

Osco Pharmacy #0065 · Cheyenne, WY
Active · expires Sep 15, 2027
CLIA Number53D1045556
Laboratory TypePharmacy
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorDavid Deertz
Laboratory Phone(307) 635-1155
Laboratory LocationOsco Pharmacy #00653355 E Pershing Blvd, Cheyenne, WY 82001
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISTINA PAULINE KOSTELECKY PHARMD
Pharmacist
3355 E PERSHING BLVD
CHEYENNE, WY 82001
Laramie County (307) 635-1155
ALBERTSONS LLC
Pharmacy (Community/Retail Pharmacy)
3355 E PERSHING BLVD
CHEYENNE, WY 82001
Laramie County (307) 635-1155
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
3355 E PERSHING BLVD
CHEYENNE, WY 82001
Laramie County (307) 635-1155
MARTA ANN HARTMAN PHARMACIST
Pharmacist
3355 E PERSHING BLVD
CHEYENNE, WY 82001
Laramie County (307) 635-1156
DANIELLE GAYLE WEISS PHARMD
Pharmacist
3355 E PERSHING BLVD
CHEYENNE, WY 82001
Laramie County (307) 635-1155
CALVIN J CULVER PHARM D, RPH
Pharmacist
3355 E PERSHING BLVD
CHEYENNE, WY 82001
Laramie County (307) 635-1155
DR. DAVID CHRISTOPHER DEERTZ PHARMD
Pharmacist
3355 E PERSHING BLVD
CHEYENNE, WY 82001
Laramie County (307) 635-1155
SALAH MOHAMED
Student in an Organized Health Care Education/Training Program
3355 E PERSHING BLVD
CHEYENNE, WY 82001
Laramie County (307) 635-1155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Albertsons LLC's NPI number?

The NPI number for Albertsons LLC is 1043494545. It was assigned to this organization in the NPPES registry on December 20, 2007. The provider is doing business as Osco Pharmacy #0065.

Where is Albertsons LLC located?

Albertsons LLC is located at 3355 E Pershing Blvd, Cheyenne, WY 82001. The listed phone number is (307) 635-1155.

What is Albertsons LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Albertsons LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D1045556) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Albertsons LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 41 other insurers list Albertsons LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Albertsons LLC was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.