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: August 16, 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 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 53D1045559

Osco Pharmacy #0067 · Gillette, WY
Active · expires Sep 15, 2027
CLIA Number53D1045559
Laboratory TypePharmacy
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorJenna Sloan
Laboratory Phone(307) 687-2996
Laboratory LocationOsco Pharmacy #00672610 S Douglas Hwy, Gillette, WY 82716
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Pharmacist
2610 S DOUGLAS HWY
GILLETTE, WY 82718
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
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 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 1770767279. It was assigned to this organization in the NPPES registry on December 20, 2007. The provider is doing business as Osco Pharmacy #0067.

Where is Albertsons LLC located?

Albertsons LLC is located at 2610 S Douglas Hwy, Gillette, WY 82718. The listed phone number is (307) 687-2996.

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 53D1045559) is associated with this NPI, valid through September 15, 2027. 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 2, 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.