OSCO DRUG
NPI 1205875689
Pharmacy - Community/Retail Pharmacy in Mesa, AZ

Active since June 04, 2006CLIA 03D2011313 · Waiver
1951 W BASELINE RD, MESA, AZ 85202(480) 456-4850(480) 456-4890 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2020, Oct 8, 2018, Jul 19, 2018 and 1 more (4 updates tracked since 2016).

About Osco Drug NPPES

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

OSCO DRUG (NPI 1205875689) is a healthcare organization registered as a community/retail pharmacy in Mesa, Arizona and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1205875689
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address1951 W BASELINE RDMesa, AZ 85202-9002
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Fax(480) 456-4890
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateJune 4, 2006
Last NPPES UpdateApril 3, 20204 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
NPI 1205875689 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 AZ · Y04580
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
1951 W BASELINE RD, Mesa, AZ 85202

Other Names 2

Doing Business AsOsco Drug
Doing Business AsOsco Drug #0980

Other Identifiers 2

Medicaid099831AZ
Other1990009Pk

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 03D2011313

Osco Drug #980 · Mesa, AZ
Active · expires Aug 12, 2026
CLIA Number03D2011313
Laboratory TypePharmacy
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorRuss Conner
Laboratory Phone(480) 456-4850
Laboratory LocationOsco Drug #9801951 W Baseline Rd, Mesa, AZ 85202
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 Osco Drug #0980 carries, from the Medicare DMEPOS supplier directory.

Osco Drug #0980

DMEPOS supplier · Mesa, AZOperated by Albertsons LLC

Does not accept Medicare assignment

Osco Drug #0980 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)20618153
Medicare Participant SinceJanuary 1, 2001
Supplier Location1951 W Baseline RdMesa, AZ 85202
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 3

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

Pharmacist
1951 W BASELINE RD
MESA, AZ 85202
Pharmacy (Community/Retail Pharmacy)
1951 W BASELINE RD
MESA, AZ 85202
Pharmacist
1951 W BASELINE RD
MESA, AZ 85202

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 1205875689. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is doing business as Osco Drug and Osco Drug #0980.

Where is Albertsons LLC located?

Albertsons LLC is located at 1951 W Baseline Rd, Mesa, AZ 85202. The listed phone number is (480) 456-4850.

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, Osco Drug #0980 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 03D2011313) is associated with this NPI, valid through August 12, 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 44 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 with the weekly NPPES data releases published by CMS.