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SAV-ON PHARMACY #3177
NPI 1700241692
Pharmacy - Community/Retail Pharmacy in Rancho Cucamonga, CA

Active since December 21, 2015CLIA 05D2272443 · Waiver
8850 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730(909) 484-8251(909) 948-0802 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, Nov 2, 2018, Jul 19, 2018 and 7 more (10 updates tracked since 2015).

About Sav-on Pharmacy #3177 NPPES

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

SAV-ON PHARMACY #3177 (NPI 1700241692) is a healthcare organization registered as a community/retail pharmacy in Rancho Cucamonga, California and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1700241692
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address8850 FOOTHILL BLVDRancho Cucamonga, CA 91730-3305
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(909) 484-8251
Fax(909) 948-0802
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateDecember 21, 2015
Last NPPES UpdateApril 3, 202010 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1700241692 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 CA · 54336
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
8850 FOOTHILL BLVD, Rancho Cucamonga, CA 91730
Open in Google Maps ↗

Other Names 1

Doing Business AsSav-on Pharmacy #3177

Other Identifiers 2

Other2157262Pk
Medicaid1700241692CA

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 05D2272443

Sav-On Pharmacy #3177 · Rancho Cucamonga, CA
Active · expires Nov 20, 2026
CLIA Number05D2272443
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorScott Parrish
Laboratory Phone(909) 484-8251
Laboratory LocationSav-On Pharmacy #31778850 Foothill Blvd, Rancho Cucamonga, CA 91730
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 11

Medicare supplier enrollment and the product categories Sav-On Pharmacy #3177 carries, from the Medicare DMEPOS supplier directory.

Sav-On Pharmacy #3177

DMEPOS supplier · Rancho Cucamonga, CAOperated by Albertsons LLC
⋮

Does not accept Medicare assignment

Sav-On Pharmacy #3177 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)20621735
Medicare Participant SinceJanuary 1, 2001
Supplier Location8850 Foothill BlvdRancho Cucamonga, CA 91730
Phone(909) 484-8251
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 2

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

CHRISTINE SASAKI
Pharmacist (Ambulatory Care)
8850 FOOTHILL BLVD
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 484-8251
SAVON PHARMACY
Clinic/Center (Community Health)
8850 FOOTHILL BLVD
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 484-8251

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 1700241692. It was assigned to this organization in the NPPES registry on December 21, 2015. The provider is doing business as Sav-On Pharmacy #3177.

Where is Albertsons LLC located?

Albertsons LLC is located at 8850 Foothill Blvd, Rancho Cucamonga, CA 91730. The listed phone number is (909) 484-8251.

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 #3177 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 05D2272443) is associated with this NPI, valid through November 20, 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 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.