OSCO PHARMACY #0067
NPI 1770767279
Pharmacy - Community/Retail Pharmacy in Gillette, WY

Active since December 20, 2007CLIA 53D1045559 · Waiver
2610 S DOUGLAS HWY, GILLETTE, WY 82718(307) 687-2996(307) 686-6153 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 2, 2020, Sep 11, 2018, May 10, 2018 and 2 more (5 updates tracked since 2016).

About Osco Pharmacy #0067 NPPES

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

OSCO PHARMACY #0067 (NPI 1770767279) is a healthcare organization registered as a community/retail pharmacy in Gillette, Wyoming and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1770767279
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address2610 S DOUGLAS HWYGillette, WY 82718-6468
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Fax(307) 686-6153
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateDecember 20, 2007
Last NPPES UpdateApril 2, 20205 updates tracked since enumeration
NPPES CertifiedApril 2, 2020
NPI 1770767279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in WY · R10149
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
2610 S DOUGLAS HWY, Gillette, WY 82718

Other Names 1

Doing Business AsOsco Pharmacy #0067

Other Identifiers 2

Medicaid125403100WY
Other2111694Pk

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D1045559
Facility Type
Pharmacy
Certificate Effective Date
September 16, 2025
Certificate Expiration Date
September 15, 2027
Laboratory Director
JENNA SLOAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Osco Pharmacy #0067 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for OSCO PHARMACY #0067

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
2610 S DOUGLAS HWY
GILLETTE, WY 82718
Technician/Technologist (Optician)
2610 S DOUGLAS HWY, STE 190
GILLETTE, WY 82718
Pharmacist
2610 S DOUGLAS HWY
GILLETTE, WY 82718
Pharmacist
2610 S DOUGLAS HWY, SUITE 3
GILLETTE, WY 82718
Pharmacist
2610 S DOUGLAS HWY
GILLETTE, WY 82718
Clinic/Center (Urgent Care)
2610 S DOUGLAS HWY, SUITE 200
GILLETTE, WY 82718
Pharmacy (Community/Retail Pharmacy)
2610 S DOUGLAS HWY
GILLETTE, WY 82718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770767279, enumerated as an "organization" on December 20, 2007.

The provider is located at 2610 S DOUGLAS HWY GILLETTE, WY 82718 and the phone number is (307) 687-2996.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arizona. Please consult your insurance carrier or call the provider to verify.