ALBERTSONS LLC
NPI 1063451441
Pharmacy - Community/Retail Pharmacy in Baton Rouge, LA

Q: What is Albertsons LLC's NPI number?

The NPI number for Albertsons LLC is 1063451441. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is doing business as Albertsons Pharmacy #3792.

Q: What is Albertsons LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Albertsons LLC was last updated on June 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2006CLIA 19D1033775 · Waiver

9960 BLUEBONNET BLVD, BATON ROUGE, LA 70810(225) 768-7950(225) 768-7937 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2025, Apr 6, 2020, Oct 2, 2018 (3 updates tracked since 2018).

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About Albertsons Llc NPPES

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

ALBERTSONS LLC (NPI 1063451441), doing business as Albertsons Pharmacy #3792, is a healthcare organization registered as a community/retail pharmacy in Baton Rouge, Louisiana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1063451441

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameALBERTSONS LLC

Location Address9960 BLUEBONNET BLVDBaton Rouge, LA 70810-6457

Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940

Phone(225) 768-7950

Fax(225) 768-7937

Organization SubpartNo

Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954

Enumeration DateJune 4, 2006

Last NPPES UpdateJune 18, 20253 updates tracked since enumeration

NPPES CertifiedJune 18, 2025

✔ NPI 1063451441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in LA · PHY.004622-RC

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

Also ListedPharmacyTaxonomy 333600000X

9960 BLUEBONNET BLVD, Baton Rouge, LA 70810

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Other Names 1

Doing Business AsAlbertsons Pharmacy #3792

Other Identifiers 2

Other2034900Pk

Medicaid1268585LA

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 19D1033775

Albertsons Pharmach #3792 Albertsons LLC · Baton Rouge, LA

Active · expires Nov 15, 2026

CLIA Number19D1033775

Laboratory TypePharmacy

Certificate Effective DateNovember 16, 2024

Certificate Expiration DateNovember 15, 2026

Laboratory DirectorAndrea Baham

Laboratory Phone(225) 768-7950

Laboratory LocationAlbertsons Pharmach #3792 Albertsons LLC9960 Bluebonnet Blvd, Baton Rouge, LA 70810

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Sav On Pharmacy #3792 carries, from the Medicare DMEPOS supplier directory.

Sav On Pharmacy #3792

DMEPOS supplier · Baton Rouge, LAOperated by Albertsons LLC

⋮

Does not accept Medicare assignment

Sav On Pharmacy #3792 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20621201

Medicare Participant SinceJanuary 1, 2001

Supplier Location9960 Bluebonnet BlvdBaton Rouge, LA 70810

Phone(225) 768-7950

Supplier Specialties

Pharmacy Grocery Store

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 11

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

ANDREA DANIEL BAHAM RPH

Pharmacist