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OSCO PHARMACY #1010
NPI 1669410817
Pharmacy - Community/Retail Pharmacy in Missoula, MT

Active since June 02, 2006CLIA 27D1031938 · Waiver
3800 S RUSSELL ST, MISSOULA, MT 59801(406) 549-7717(406) 549-7659 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2020, Oct 17, 2018, Jul 12, 2016 and 1 more (4 updates tracked since 2016).

About Osco Pharmacy #1010 NPPES

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

OSCO PHARMACY #1010 (NPI 1669410817) is a healthcare organization registered as a community/retail pharmacy in Missoula, Montana and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 12, 2026 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1669410817
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address3800 S RUSSELL STMissoula, MT 59801-8525
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(406) 549-7717
Fax(406) 549-7659
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 3, 20204 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1669410817 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 MT · PHA-PHR-LIC-14981
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
3800 S RUSSELL ST, Missoula, MT 59801
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Other Names 1

Doing Business AsOsco Pharmacy #1010

Other Identifiers 3

Medicaid0214676MT
Other2052012Pk
Medicaid0211242MT

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 27D1031938

Osco Pharmacy #1010 · Missoula, MT
Active · expires Oct 12, 2026
CLIA Number27D1031938
Laboratory TypePharmacy
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorAmanda Mcevers
Laboratory Phone(406) 549-7717
Laboratory LocationOsco Pharmacy #10103800 Russell Street, Missoula, MT 59801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ALEXA MEGAN HECKMAN RPH
Pharmacist
3800 S RUSSELL ST
MISSOULA, MT 59801
Missoula County (406) 549-7717
MARISA GARRETT PHARMD
Pharmacist
3800 S RUSSELL ST
MISSOULA, MT 59801
Missoula County (406) 549-7717
CHRISTI L THORSELL
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3800 S RUSSELL ST
MISSOULA, MT 59801
Missoula County (406) 549-7717
MR. ZACHARIAH HOLMES PHARMD
Pharmacist
3800 S RUSSELL ST, PHARMACY
MISSOULA, MT 59801
Missoula County (406) 549-7071

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 1669410817. It was assigned to this organization in the NPPES registry on June 2, 2006. The provider is doing business as Osco Pharmacy #1010.

Where is Albertsons LLC located?

Albertsons LLC is located at 3800 S Russell St, Missoula, MT 59801. The listed phone number is (406) 549-7717.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D1031938) is associated with this NPI, valid through October 12, 2026. 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 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.