ALBERTSONS LLC
NPI 1609814060
Pharmacy - Community/Retail Pharmacy in Ft. Worth, TX

Q: What is Albertsons LLC's NPI number?

The NPI number for Albertsons LLC is 1609814060. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is doing business as Albertsons Pharmacy #4151.

Q: What is Albertsons LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Albertsons LLC was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since June 04, 2006CLIA 45D1032923 · Waiver

4400 WESTERN BLVD, FT. WORTH, TX 76137(817) 232-1023(817) 232-5091 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Apr 6, 2020, Sep 28, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Albertsons Llc NPPES

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

ALBERTSONS LLC (NPI 1609814060), doing business as Albertsons Pharmacy #4151, is a healthcare organization registered as a community/retail pharmacy in Ft. Worth, Texas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1609814060

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameALBERTSONS LLC

Location Address4400 WESTERN BLVDFt. Worth, TX 76137

Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940

Phone(817) 232-1023

Fax(817) 232-5091

Organization SubpartNo

Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954

Enumeration DateJune 4, 2006

Last NPPES UpdateJune 17, 20254 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1609814060 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 TX · 14862

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

4400 WESTERN BLVD, Ft. Worth, TX 76137

Open in Google Maps ↗

Other Names 1

Doing Business AsAlbertsons Pharmacy #4151

Other Identifiers 2

Medicaid463388TX

Other2100034Pk

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 45D1032923

Albertsons Pharmacy #4151 · Fort Worth, TX

Active · expires Dec 7, 2027

CLIA Number45D1032923

Laboratory TypePharmacy

Certificate Effective DateDecember 8, 2025

Certificate Expiration DateDecember 7, 2027

Laboratory DirectorJuliann Spier

Laboratory Phone(817) 232-1023

Laboratory LocationAlbertsons Pharmacy #41514400 Western Center Blvd, Fort Worth, TX 76137

CLIA data matches this NPI record on: 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 #4151 carries, from the Medicare DMEPOS supplier directory.

Sav-On Pharmacy #4151

DMEPOS supplier · Fort Worth, TXOperated by Albertsons LLC

⋮

Does not accept Medicare assignment

Sav-On Pharmacy #4151 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)20621357

Medicare Participant SinceJanuary 1, 2001

Supplier Location4400 Western BlvdFort Worth, TX 76137

Phone(817) 232-1023

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.

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 1609814060. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is doing business as Albertsons Pharmacy #4151.

Where is Albertsons LLC located?

Albertsons LLC is located at 4400 Western Blvd, Ft. Worth, TX 76137. The listed phone number is (817) 232-1023.

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 #4151 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 45D1032923) is associated with this NPI, valid through December 7, 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 49 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 June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.