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ALBERTSONS LLC
NPI 1689611139
Pharmacy - Community/Retail Pharmacy in Arlington, TX

Active since June 01, 2006CLIA 45D1032917 · Waiver
5950 S COOPER ST, ARLINGTON, TX 76017(817) 472-6458(817) 419-6445 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 2015).

About Albertsons Llc NPPES

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

ALBERTSONS LLC (NPI 1689611139), doing business as Albertsons Pharmacy #4163, is a healthcare organization registered as a community/retail pharmacy in Arlington, Texas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 5, 2026 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1689611139
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address5950 S COOPER STArlington, TX 76017-4456
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(817) 472-6458
Fax(817) 419-6445
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateJune 1, 2006
Last NPPES UpdateJune 17, 20254 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1689611139 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 · 15657
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
5950 S COOPER ST, Arlington, TX 76017
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Other Names 1

Doing Business AsAlbertsons Pharmacy #4163

Other Identifiers 2

Other2101905Pk
Medicaid463608TX

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 45D1032917

Albertsons Pharmacy #4163 · Arlington, TX
Active · expires Aug 5, 2026
CLIA Number45D1032917
Laboratory TypePharmacy
Certificate Effective DateAugust 6, 2024
Certificate Expiration DateAugust 5, 2026
Laboratory DirectorJuliann Spier
Laboratory Phone(817) 472-6458
Laboratory LocationAlbertsons Pharmacy #41635950 S Cooper St, Arlington, TX 76017
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 Savon Pharmacy #4163 carries, from the Medicare DMEPOS supplier directory.

Savon Pharmacy #4163

DMEPOS supplier · Arlington, TXOperated by Albertsons LLC
⋮

Does not accept Medicare assignment

Savon Pharmacy #4163 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)20621681
Medicare Participant SinceJanuary 1, 2001
Supplier Location5950 S Cooper StArlington, TX 76017
Phone(817) 472-6458
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

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

DANA AUGUSTUS-MCDADE
Pharmacist
5950 S COOPER ST
ARLINGTON, TX 76017
Tarrant County (817) 472-6458

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 1689611139. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as Albertsons Pharmacy #4163.

Where is Albertsons LLC located?

Albertsons LLC is located at 5950 S Cooper St, Arlington, TX 76017. The listed phone number is (817) 472-6458.

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, Savon Pharmacy #4163 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 45D1032917) is associated with this NPI, valid through August 5, 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 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.