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ALBERTSONS LLC
NPI 1104863547
Pharmacy - Community/Retail Pharmacy in Denison, TX

Active since June 02, 2006CLIA 45D1032538 · Waiver
200 W CRAWFORD ST, DENISON, TX 75020(903) 465-6182(903) 463-4772 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Apr 3, 2020, Oct 5, 2018 (3 updates tracked since 2018).

About Albertsons Llc NPPES

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

ALBERTSONS LLC (NPI 1104863547), doing business as Albertsons Pharmacy #0716, is a healthcare organization registered as a community/retail pharmacy in Denison, Texas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1104863547
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address200 W CRAWFORD STDenison, TX 75020-4604
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(903) 465-6182
Fax(903) 463-4772
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateJune 2, 2006
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1104863547 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 TX · 14827
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
200 W CRAWFORD ST, Denison, TX 75020
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Other Names 1

Doing Business AsAlbertsons Pharmacy #0716

Other Identifiers 2

Medicaid463377TX
Other2099983Pk

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 45D1032538

Albertsons LLC Dba Albertsons Pharmacy #0716 · Denison, TX
Active · expires Oct 25, 2026
CLIA Number45D1032538
Laboratory TypePharmacy
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorJuliann Spier
Laboratory Phone(903) 465-6182
Laboratory LocationAlbertsons LLC Dba Albertsons Pharmacy #0716200 West Crawford St, Denison, TX 75020
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 #0716 carries, from the Medicare DMEPOS supplier directory.

Sav On Pharmacy #0716

DMEPOS supplier · Denison, TXOperated by Albertsons LLC
⋮

Does not accept Medicare assignment

Sav On Pharmacy #0716 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)20621693
Medicare Participant SinceJanuary 1, 2001
Supplier Location200 W Crawford StDenison, TX 75020
Phone(903) 465-6182
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.

Other Providers at the Same Location NPPES 5

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

DR. RONAL STAS JR.
Pharmacist
200 W CRAWFORD ST
DENISON, TX 75020
Grayson County (903) 465-6182
CASSONDRA ANN SOLESBEE PHARMD
Pharmacist
200 W CRAWFORD ST
DENISON, TX 75020
Grayson County (903) 465-6182
MARY LYNN FOSTER RPH
Pharmacist
200 W CRAWFORD ST
DENISON, TX 75020
Grayson County (190) 346-5618
DR. SMITI SHAH PHARMD
Pharmacist
200 W CRAWFORD ST
DENISON, TX 75020
Grayson County (903) 465-6182
BRYAN OWENS RPH
Pharmacist
200 W CRAWFORD ST
DENISON, TX 75020
Grayson County (903) 465-6182

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 1104863547. It was assigned to this organization in the NPPES registry on June 2, 2006. The provider is doing business as Albertsons Pharmacy #0716.

Where is Albertsons LLC located?

Albertsons LLC is located at 200 W Crawford St, Denison, TX 75020. The listed phone number is (903) 465-6182.

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, Sav On Pharmacy #0716 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 45D1032538) is associated with this NPI, valid through October 25, 2026. 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 49 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 June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.