ALBERTSONS PHARMACY #0031
NPI 1134958457
Pharmacy - Community/Retail Pharmacy in Ardmore, OK

Active since July 26, 2024CLIA 37D2319947 · Waiver
1855 12TH AVE NW, ARDMORE, OK 73401(580) 826-3660(580) 826-3663 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2024, Jul 26, 2024 (2 updates tracked since 2024).

About Albertsons Pharmacy #0031 NPPES

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

ALBERTSONS PHARMACY #0031 (NPI 1134958457) is a healthcare organization registered as a community/retail pharmacy in Ardmore, Oklahoma and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1134958457
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address1855 12TH AVE NWArdmore, OK 73401-1346
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Fax(580) 826-3663
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 26, 2024
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
NPI 1134958457 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
1855 12TH AVE NW, Ardmore, OK 73401

Other Names 1

Doing Business AsAlbertsons Pharmacy #0031

Accepted 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 37D2319947

Albertsons Pharmacy #0031 · Ardmore, OK
Active · expires Mar 9, 2027
CLIA Number37D2319947
Laboratory TypePharmacy
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorEvelyn Parenteau
Laboratory Phone(580) 826-3660
Laboratory LocationAlbertsons Pharmacy #00311855 12th Ave NW, Ardmore, OK 73401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1134958457. It was assigned to this organization in the NPPES registry on July 26, 2024. The provider is doing business as Albertsons Pharmacy #0031.

Where is Albertsons LLC located?

Albertsons LLC is located at 1855 12th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 826-3660.

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 37D2319947) is associated with this NPI, valid through March 9, 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 42 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 October 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.