SAV-ON PHARMACY #3417
NPI 1598110322
Pharmacy - Community/Retail Pharmacy in Olympia, WA

Active since April 29, 2016CLIA 50D2127774 · Waiver
3520 PACIFIC AVE SE, OLYMPIA, WA 98501(360) 491-9754(360) 456-2310 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2020, Oct 4, 2018, Nov 10, 2016 and 2 more (5 updates tracked since 2016).

About Sav-on Pharmacy #3417 NPPES

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

SAV-ON PHARMACY #3417 (NPI 1598110322) is a healthcare organization registered as a community/retail pharmacy in Olympia, Washington and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1598110322
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address3520 PACIFIC AVE SEOlympia, WA 98501-2121
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Fax(360) 456-2310
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateApril 29, 2016
Last NPPES UpdateApril 3, 20205 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
NPI 1598110322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in WA · PHAR.CF.60660214
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
3520 PACIFIC AVE SE, Olympia, WA 98501

Other Names 1

Doing Business AsSav-on Pharmacy #3417

Other Identifiers 2

Medicaid2062864WA
Other2159959Pk

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 50D2127774

Sav-On Pharmacy #3417 · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D2127774
Laboratory TypePharmacy
Certificate Effective DateMarch 17, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan K. Tegart
Laboratory Phone(360) 491-9754
Laboratory LocationSav-On Pharmacy #34173520 Pacific Ave SE, Olympia, WA 98501
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 #3417 carries, from the Medicare DMEPOS supplier directory.

Sav On Pharmacy #3417

DMEPOS supplier · Olympia, WAOperated by Albertsons LLC

Does not accept Medicare assignment

Sav On Pharmacy #3417 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)20618093
Medicare Participant SinceJanuary 1, 2001
Supplier Location3520 Pacific Ave SEOlympia, WA 98501
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.

Pharmacy (Community/Retail Pharmacy)
3520 PACIFIC AVE SE
OLYMPIA, WA 98501
Pharmacist
3520 PACIFIC AVE SE
OLYMPIA, WA 98501
Pharmacist
3520 PACIFIC AVE SE
OLYMPIA, WA 98501

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 1598110322. It was assigned to this organization in the NPPES registry on April 29, 2016. The provider is doing business as Sav-On Pharmacy #3417.

Where is Albertsons LLC located?

Albertsons LLC is located at 3520 Pacific Ave SE, Olympia, WA 98501. The listed phone number is (360) 491-9754.

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 #3417 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 50D2127774) is associated with this NPI, valid through April 4, 2028. 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 43 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 3, 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.