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SAV ON PHARMACY #0103
NPI 1568418077
Pharmacy - Community/Retail Pharmacy in Caldwell, ID

Active since May 26, 2006CLIA 13D1035485 · Waiver
415 CLEVELAND BLVD, CALDWELL, ID 83605(208) 459-1756(208) 459-8506 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2020, Sep 11, 2018, May 10, 2018 and 1 more (4 updates tracked since 2016).

About Sav On Pharmacy #0103 NPPES

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

SAV ON PHARMACY #0103 (NPI 1568418077) is a healthcare organization registered as a community/retail pharmacy in Caldwell, Idaho and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1568418077
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address415 CLEVELAND BLVDCaldwell, ID 83605-3627
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(208) 459-1756
Fax(208) 459-8506
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 2, 20204 updates tracked since enumeration
NPPES CertifiedApril 2, 2020
✔ NPI 1568418077 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 · 21063RP
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
415 CLEVELAND BLVD, Caldwell, ID 83605
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Other Names 1

Doing Business AsSav On Pharmacy #0103

Other Identifiers 3

Other2021064Pk
Medicaid002257200ID
Medicaid807495700ID

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 13D1035485

Sav-On Pharmacy #0103 · Caldwell, ID
Active · expires Jan 3, 2027
CLIA Number13D1035485
Laboratory TypePharmacy
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorTimothy Flynn
Laboratory Phone(208) 459-1756
Laboratory LocationSav-On Pharmacy #0103415 Cleveland Blvd, Caldwell, ID 83605
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 #0103 carries, from the Medicare DMEPOS supplier directory.

Sav-On Pharmacy #0103

DMEPOS supplier · Caldwell, IDOperated by Albertsons LLC
⋮

Does not accept Medicare assignment

Sav-On Pharmacy #0103 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)20624945
Medicare Participant SinceJanuary 1, 2001
Supplier Location415 Cleveland BlvdCaldwell, ID 83605
Phone(208) 459-1756
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.

MRS. NANCY A LINDBERG RPH
Pharmacist
415 CLEVELAND BLVD
CALDWELL, ID 83605
Canyon County (208) 459-0521
ELIZABETH EGGLESTON PHARM D.
Pharmacist
415 CLEVELAND BLVD
CALDWELL, ID 83605
Canyon County (208) 459-1756
DR. DARCY ANN THIE ASLETT PHARM.D.
Pharmacist
415 CLEVELAND BLVD
CALDWELL, ID 83605
Canyon County (208) 459-1756

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 1568418077. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Sav On Pharmacy #0103.

Where is Albertsons LLC located?

Albertsons LLC is located at 415 Cleveland Blvd, Caldwell, ID 83605. The listed phone number is (208) 459-1756.

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 #0103 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 13D1035485) is associated with this NPI, valid through January 3, 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 with the weekly NPPES data releases published by CMS.