SAV-ON PHARMACY #0552 (ALBERTSONS LLC) NPI 1376758656

Pharmacy (Community/Retail Pharmacy) in Ladera Ranch, CA

NPI 1376758656 Organization Pharmacy Community/Retail Pharmacy Medicare Supplier Does Not Accept Medicare Approved Payment

About SAV-ON PHARMACY #0552 (ALBERTSONS LLC)

Sav-on Pharmacy #0552 (albertsons Llc) is a provider established in Ladera Ranch, California specializing in pharmacy (community/retail pharmacy) . The NPI number of Sav-on Pharmacy #0552 (albertsons Llc) is 1376758656 and was assigned on May 2007. The practitioner's primary taxonomy code is 3336C0003X with license number PHY51296 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Sav-on Pharmacy #0552. The authorized official of this NPI record is Kathy Giannakopoulos (Enrollmant Manager)

Sav-on Pharmacy #0552 is a medicare supplier with PTAN 0483391322 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Orthoses: Off-The-Shelf or Ostomy Supplies or Urological Supplies or Surgical Dressings or Diabetic Shoes and Inserts.

NPI

1376758656

Provider NameSAV-ON PHARMACY #0552 (ALBERTSONS LLC)
Provider Location Address27702 CROWN VALLEY PKWY SUITE B LADERA RANCH, CA 92694
Provider Mailing Address250 E PARKCENTER BLVD BOISE, ID 83706
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSAV-ON PHARMACY #0552
Other Name TypeDoing Business As (3)
Enumeration Date05-11-2007
Last Update Date04-03-2020


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.PHY51296
License StateCA
Taxonomy DescriptionA 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.

Business Address

SAV-ON PHARMACY #0552
27702 CROWN VALLEY PKWY
SUITE B
LADERA RANCH, CA
ZIP 92694
Phone: (949) 364-2098
Fax: (949) 364-2198

Get Directions


Mailing Address

SAV-ON PHARMACY #0552
250 E PARKCENTER BLVD
BOISE, ID
ZIP 83706
Phone:



Authorized Official

Authorized Official Name KATHY GIANNAKOPOULOS
Authorized Official TitleENROLLMANT MANAGER
Authorized Official Phone(208) 395-3954

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN0483391322
Accepts Medicare AssignmentNO
Specialities ListPharmacy, Grocery Store.
Supplies List
  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
Competitive BiddingNO

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
071PHA483980MEDICAID (05)CA
2112412OTHER (01)

Other Providers at the same location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962528448DAVID MCCANN DDS INC
Organization
Dentist27702 CROWN VALLEY PKWY SUITE A2
LADERA RANCH, CA 92694
(949) 365-1900
1982854675 GINA LYNN ROSS PTA
Individual
Physical Therapy Assistant27702 CROWN VALLEY PKWY D-4 #442
LADERA RANCH, CA 92694
(949) 374-2395
1154635126DR. DAVID STANLEY MCCANN DDS
Individual
Dentist (General Practice)27702 CROWN VALLEY PKWY STE A2
LADERA RANCH, CA 92694
(949) 463-1511
1497743850DR. MICHELLE ANN HIGLEY MD
Individual
Anesthesiology27702 CROWN VALLEY PKWY D4
LADERA RANCH, CA 92694
(800) 883-7243
1740622877SECURECARDIO, LLC
Organization
Physiological Laboratory27702 CROWN VALLEY PKWY #D4-150
LADERA RANCH, CA 92694
(949) 422-7536
1831595024SUMMIT MEDICAL GROUP
Organization
Internal Medicine27702 CROWN VALLEY PKWY SUITE D4-113
LADERA RANCH, CA 92694
(949) 529-2330
1831133180GARFIELD BEACH CVS LLC
Organization
Pharmacy27702 CROWN VALLEY PKWY
LADERA RANCH, CA 92694
(949) 364-1430
1164804126 PEJMAN ESKANDANI
Individual
Pharmacist27702 CROWN VALLEY PKWY
LADERA RANCH, CA 92694
(949) 364-2098
1982078440 SYLVIA SWIDERSKA-KRAWCZYK
Individual
Pharmacist27702 CROWN VALLEY PKWY
LADERA RANCH, CA 92694
(949) 364-1430
1679948020 MARICLAIRE GLADYS TAJONERA PHARMD
Individual
Pharmacist27702 CROWN VALLEY PKWY SUITE I
LADERA RANCH, CA 92694
(949) 364-1430
1518324334NILOUFAR HEDAYAT, O.D., INC.
Organization
Optometrist27702 CROWN VALLEY PKWY SUITE A-3
LADERA RANCH, CA 92694
(949) 429-3333
1831363910MR. BRAD ROELOFS CCT
Individual
Technician, Cardiology27702 CROWN VALLEY PKWY D4149
LADERA RANCH, CA 92694
(949) 407-8911
1891904397 ALBERTO GALLASTEGUI D.D.S.
Individual
Dentist27702 CROWN VALLEY PKWY
LADERA RANCH, CA 92694
(949) 365-1900
1801480751 LINH TU
Individual
Pharmacist27702 CROWN VALLEY PKWY
LADERA RANCH, CA 92694
(949) 364-1430

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.