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ALBERTSONS PHARMACY #3435
NPI 1073235222
Pharmacy - Community/Retail Pharmacy in Powell, WY

Active since September 14, 2022CLIA 53D2279578 · Waiver
1005 W COULTER AVE, POWELL, WY 82435(307) 271-3160(307) 271-3161 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2023, Sep 29, 2022, Sep 14, 2022 (3 updates tracked since 2022).

About Albertsons Pharmacy #3435 NPPES

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

ALBERTSONS PHARMACY #3435 (NPI 1073235222) is a healthcare organization registered as a community/retail pharmacy in Powell, Wyoming and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1073235222
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address1005 W COULTER AVEPowell, WY 82435-2530
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(307) 271-3160
Fax(307) 271-3161
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateSeptember 14, 2022
Last NPPES UpdateFebruary 13, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
✔ NPI 1073235222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
1005 W COULTER AVE, Powell, WY 82435
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Other Names 1

Doing Business AsAlbertsons Pharmacy #3435

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 53D2279578

Albertsons Pharmacy #3435 · Powell, WY
Active · expires Apr 3, 2027
CLIA Number53D2279578
Laboratory TypePharmacy
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorJill Sande
Laboratory Phone(307) 271-3160
Laboratory LocationAlbertsons Pharmacy #34351005 W Coulter Ave, Powell, WY 82435
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 9

Medicare supplier enrollment and the product categories Albertsons Pharmacy #3435 carries, from the Medicare DMEPOS supplier directory.

Albertsons Pharmacy #3435

DMEPOS supplier · Powell, WYOperated by Albertsons LLC
⋮

Does not accept Medicare assignment

Albertsons Pharmacy #3435 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)20618921
Medicare Participant SinceJanuary 1, 2001
Supplier Location1005 W Coulter AvePowell, WY 82435
Phone(307) 271-3160
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
1005 W COULTER AVE
POWELL, WY 82435
Park County (307) 754-2755
TAYLOR OLSON PHARMD
Pharmacist
1005 W COULTER AVE
POWELL, WY 82435
Park County (307) 271-3160
JASON LEE BISCHOFF
Pharmacist
1005 W COULTER AVE
POWELL, WY 82435
Park County (307) 754-2755
RAMSEY LAMB RPH
Pharmacist
1005 W COULTER AVE
POWELL, WY 82435
Park County (307) 271-3160

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 1073235222. It was assigned to this organization in the NPPES registry on September 14, 2022. The provider is doing business as Albertsons Pharmacy #3435.

Where is Albertsons LLC located?

Albertsons LLC is located at 1005 W Coulter Ave, Powell, WY 82435. The listed phone number is (307) 271-3160.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Albertsons Pharmacy #3435 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Albertsons LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2279578) is associated with this NPI, valid through April 3, 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 40 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 February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.