ALBERTSONS LLC
NPI 1336801257
Pharmacy - Community/Retail Pharmacy in Elko, NV

Active since October 07, 2021CLIA 29D2283068 · Waiver

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Albertsons Llc NPPES

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

ALBERTSONS LLC (NPI 1336801257), doing business as Albertsons Pharmacy # 0155, is a healthcare organization registered as a community/retail pharmacy in Elko, Nevada and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1336801257
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address2582 IDAHO STElko, NV 89801-4601
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateOctober 7, 2021
NPPES CertifiedOctober 7, 2021
NPI 1336801257 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
2582 IDAHO ST, Elko, NV 89801

Other Names 1

Doing Business AsAlbertsons Pharmacy # 0155

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 29D2283068

Albertsons Pharmacy #0155 · Elko, NV
Active · expires May 30, 2027
CLIA Number29D2283068
Laboratory TypePharmacy
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorChristopher Smyrniotis
Laboratory Phone(775) 218-3864
Laboratory LocationAlbertsons Pharmacy #01552582 Idaho St, Elko, NV 89801
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Albertsons Pharmacy #0155 carries, from the Medicare DMEPOS supplier directory.

Albertsons Pharmacy #0155

DMEPOS supplier · Elko, NVOperated by Albertsons LLC

Does not accept Medicare assignment

Albertsons Pharmacy #0155 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)20618513
Medicare Participant SinceJanuary 1, 2001
Supplier Location2582 Idaho StElko, NV 89801
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

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

Pharmacy (Community/Retail Pharmacy)
2582 IDAHO ST
ELKO, NV 89801

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 1336801257. It was assigned to this organization in the NPPES registry on October 7, 2021. The provider is doing business as Albertsons Pharmacy # 0155.

Where is Albertsons LLC located?

Albertsons LLC is located at 2582 Idaho St, Elko, NV 89801. The listed phone number is (208) 395-6200.

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, Albertsons Pharmacy #0155 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 29D2283068) is associated with this NPI, valid through May 30, 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 40 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 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.