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SAV-ON PHARMACY #0183
NPI 1558318915
Pharmacy - Community/Retail Pharmacy in Jackson, WY

Active since May 30, 2006CLIA 53D1045549 · Waiver
105 BUFFALO WAY, JACKSON, WY 83001(307) 733-9223(307) 734-4481 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2020, Sep 12, 2018, Aug 26, 2016 and 1 more (4 updates tracked since 2016).

About Sav-on Pharmacy #0183 NPPES

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

SAV-ON PHARMACY #0183 (NPI 1558318915) is a healthcare organization registered as a community/retail pharmacy in Jackson, Wyoming and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1558318915
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address105 BUFFALO WAYJackson, WY 83001
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(307) 733-9223
Fax(307) 734-4481
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateMay 30, 2006
Last NPPES UpdateApril 2, 20204 updates tracked since enumeration
NPPES CertifiedApril 2, 2020
✔ NPI 1558318915 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 WY · R10101
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
105 BUFFALO WAY, Jackson, WY 83001
Open in Google Maps ↗

Other Names 1

Doing Business AsSav-on Pharmacy #0183

Other Identifiers 3

Other2111615Pk
Medicaid123005100WY
Medicaid114786200WY

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 53D1045549

Sav-On Pharmacy #0183 · Jackson, WY
Active · expires Sep 15, 2027
CLIA Number53D1045549
Laboratory TypePharmacy
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorBrent Peacock
Laboratory Phone(307) 733-9223
Laboratory LocationSav-On Pharmacy #0183105 Buffalo Way, Jackson, WY 83002
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 Sav-On Pharmacy #183 carries, from the Medicare DMEPOS supplier directory.

Sav-On Pharmacy #183

DMEPOS supplier · Jackson, WYOperated by Albertsons LLC
⋮

Does not accept Medicare assignment

Sav-On Pharmacy #183 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)20625599
Medicare Participant SinceJanuary 1, 2001
Supplier Location105 Buffalo WayJackson, WY 83001
Phone(307) 733-9223
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 5

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

CASSIDY SHERIDAN
Pharmacist
105 BUFFALO WAY
JACKSON, WY 83001
Teton County (307) 733-9223
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
105 BUFFALO WAY
JACKSON, WY 83001
Teton County (307) 733-9223
MR. WILLIAM JACKSON RPH
Pharmacist
105 BUFFALO WAY
JACKSON, WY 83001
Teton County (307) 733-9222
KAI KARSTENS PHARMD
Pharmacist
105 BUFFALO WAY
JACKSON, WY 83001
Teton County (307) 733-9223
PAUL BAILEY
Pharmacist
105 BUFFALO WAY
JACKSON, WY 83001
Teton County (307) 733-9223

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 1558318915. It was assigned to this organization in the NPPES registry on May 30, 2006. The provider is doing business as Sav-On Pharmacy #0183.

Where is Albertsons LLC located?

Albertsons LLC is located at 105 Buffalo Way, Jackson, WY 83001. The listed phone number is (307) 733-9223.

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, Sav-On Pharmacy #183 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 53D1045549) is associated with this NPI, valid through September 15, 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 2, 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.