OSCO DRUG #3941
NPI 1700823135
Pharmacy - Community/Retail Pharmacy in Glendale, AZ

Q: What is Albertsons LLC's NPI number?

The NPI number for Albertsons LLC is 1700823135. It was assigned to this organization in the NPPES registry on June 2, 2006. The provider is doing business as Osco Drug #3941.

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 April 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 02, 2006CLIA 03D1041301 · Waiver

5040 W CACTUS RD, GLENDALE, AZ 85304(602) 843-0351(602) 547-8281 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2020, Oct 2, 2018, Aug 10, 2017 and 1 more (4 updates tracked since 2016).

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About Osco Drug #3941 NPPES

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

OSCO DRUG #3941 (NPI 1700823135) is a healthcare organization registered as a community/retail pharmacy in Glendale, Arizona and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1700823135

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameALBERTSONS LLC

Location Address5040 W CACTUS RDGlendale, AZ 85304-2237

Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940

Phone(602) 843-0351

Fax(602) 547-8281

Organization SubpartNo

Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954

Enumeration DateJune 2, 2006

Last NPPES UpdateApril 6, 20204 updates tracked since enumeration

NPPES CertifiedApril 6, 2020

✔ NPI 1700823135 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 AZ · Y04549

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

5040 W CACTUS RD, Glendale, AZ 85304

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Other Names 1

Doing Business AsOsco Drug #3941

Other Identifiers 2

Other1989010Pk

Medicaid100711AZ

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 03D1041301

Osco Drug #3941 · Glendale, AZ

Active · expires Aug 12, 2026

CLIA Number03D1041301

Laboratory TypePharmacy

Certificate Effective DateAugust 13, 2024

Certificate Expiration DateAugust 12, 2026

Laboratory DirectorKyle Rowland

Laboratory Phone(602) 843-0351

Laboratory LocationOsco Drug #39415040 W Cactus Road, Glendale, AZ 85304

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 Osco Drug #3941 carries, from the Medicare DMEPOS supplier directory.

Osco Drug #3941

DMEPOS supplier · Glendale, AZOperated by Albertsons LLC

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Does not accept Medicare assignment

Osco Drug #3941 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)20620847

Medicare Participant SinceJanuary 1, 2001

Supplier Location5040 W Cactus RdGlendale, AZ 85304

Phone(602) 843-0351

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 5

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

RICHARD LEE BEAUFEAUX LPH

Pharmacist