SAV-ON PHARMACY #0168
NPI 1295781110
Pharmacy - Community/Retail Pharmacy in Payette, ID

Active since May 25, 2006CLIA 13D1036470 · Waiver
405 S MAIN ST, PAYETTE, ID 83661(208) 642-9331(208) 642-1550 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 2, 2020, Sep 12, 2018, Jan 11, 2016 (3 updates tracked since 2016).

About Sav-on Pharmacy #0168 NPPES

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

SAV-ON PHARMACY #0168 (NPI 1295781110) is a healthcare organization registered as a community/retail pharmacy in Payette, Idaho and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1295781110
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address405 S MAIN STPayette, ID 83661
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Fax(208) 642-1550
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateMay 25, 2006
Last NPPES UpdateApril 2, 20203 updates tracked since enumeration
NPPES CertifiedApril 2, 2020
NPI 1295781110 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 ID · 21074RP
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
405 S MAIN ST, Payette, ID 83661

Other Names 1

Doing Business AsSav-on Pharmacy #0168

Other Identifiers 3

Medicaid002255800ID
Medicaid807495300ID
Other2020844Pk

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 13D1036470

Sav-On Pharmacy #0168 · Payette, ID
Active · expires Feb 3, 2027
CLIA Number13D1036470
Laboratory TypePharmacy
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorTimothy Flynn
Laboratory Phone(208) 642-9331
Laboratory LocationSav-On Pharmacy #0168405 S 8th St, Payette, ID 83661
CLIA data matches this NPI record on: 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 #168 carries, from the Medicare DMEPOS supplier directory.

Sav-On Pharmacy #168

DMEPOS supplier · Payette, IDOperated by Albertsons LLC

Does not accept Medicare assignment

Sav-On Pharmacy #168 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)20624873
Medicare Participant SinceJanuary 1, 2001
Supplier Location405 S Main StPayette, ID 83661
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 2

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

Pharmacist
405 S MAIN ST
PAYETTE, ID 83661
Pharmacist
405 S MAIN ST
PAYETTE, ID 83661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295781110, enumerated as an "organization" on May 25, 2006.

The provider is located at 405 S MAIN ST PAYETTE, ID 83661 and the phone number is (208) 642-9331.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arizona. Please consult your insurance carrier or call the provider to verify.