1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Pharmacy
  6. NPI Profile

SAV-ON PHARMACY #0460
NPI 1205036134
Pharmacy - Community/Retail Pharmacy in Las Vegas, NV

Active since July 19, 2007CLIA 29D2213535 · Waiver
11720 W CHARLESTON BLVD, LAS VEGAS, NV 89135(702) 363-3306(702) 363-3619 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2020, Sep 24, 2018, Sep 14, 2017 and 2 more (5 updates tracked since 2016).

About Sav-on Pharmacy #0460 NPPES

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

SAV-ON PHARMACY #0460 (NPI 1205036134) is a healthcare organization registered as a community/retail pharmacy in Las Vegas, Nevada and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1205036134
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address11720 W CHARLESTON BLVDLas Vegas, NV 89135
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(702) 363-3306
Fax(702) 363-3619
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateJuly 19, 2007
Last NPPES UpdateApril 3, 20205 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1205036134 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 NV · PH02289
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
11720 W CHARLESTON BLVD, Las Vegas, NV 89135
Open in Google Maps ↗

Other Names 1

Doing Business AsSav-on Pharmacy #0460

Other Identifiers 2

Medicaid100512930NV
Other2052245Pk

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 29D2213535

Sav-On Pharmacy #0460 · Las Vegas, NV
Active · expires Feb 11, 2027
CLIA Number29D2213535
Laboratory TypePharmacy
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorDaryl Sakado
Laboratory Phone(702) 363-3306
Laboratory LocationSav-On Pharmacy #046011720 W Charleston Blvd, Las Vegas, NV 89135
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 4

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

SHENIKA WOODWARD
Pharmacist
11720 W CHARLESTON BLVD
LAS VEGAS, NV 89135
Clark County (702) 363-1153
CHESTER DUDZIK PHARMD
Pharmacist
11720 W CHARLESTON BLVD
LAS VEGAS, NV 89135
Clark County (702) 363-3306
KANDIS HARRIS PHARMD
Pharmacist
11720 W CHARLESTON BLVD
LAS VEGAS, NV 89135
Clark County (702) 363-3306
ERICA CHEN PHARMD
Pharmacist
11720 W CHARLESTON BLVD
LAS VEGAS, NV 89135
Clark County (702) 363-3306

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 1205036134. It was assigned to this organization in the NPPES registry on July 19, 2007. The provider is doing business as Sav-On Pharmacy #0460.

Where is Albertsons LLC located?

Albertsons LLC is located at 11720 W Charleston Blvd, Las Vegas, NV 89135. The listed phone number is (702) 363-3306.

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 29D2213535) is associated with this NPI, valid through February 11, 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 April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.