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ALBERTSONS PHARMACY #0030
NPI 1841020146
Pharmacy - Community/Retail Pharmacy in Horizon City, TX

Active since August 02, 2024CLIA 45D2324040 · Waiver
13671 EASTLAKE BLVD, HORIZON CITY, TX 79928(915) 337-3190(915) 337-3191 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2024, Aug 2, 2024 (2 updates tracked since 2024).

About Albertsons Pharmacy #0030 NPPES

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

ALBERTSONS PHARMACY #0030 (NPI 1841020146) is a healthcare organization registered as a community/retail pharmacy in Horizon City, Texas and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through May 15, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1841020146
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address13671 EASTLAKE BLVDHorizon City, TX 79928
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(915) 337-3190
Fax(915) 337-3191
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateAugust 2, 2024
Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1841020146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
13671 EASTLAKE BLVD, Horizon City, TX 79928
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Other Names 1

Doing Business AsAlbertsons Pharmacy #0030

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 45D2324040

Albertsons Pharmacy #0030 · Horizon City, TX
Active · expires May 15, 2027
CLIA Number45D2324040
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorJuliann Spier
Laboratory Phone(915) 337-3190
Laboratory LocationAlbertsons Pharmacy #003013671 Eastlake Blvd, Horizon City, TX 79928
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1841020146. It was assigned to this organization in the NPPES registry on August 2, 2024. The provider is doing business as Albertsons Pharmacy #0030.

Where is Albertsons LLC located?

Albertsons LLC is located at 13671 Eastlake Blvd, Horizon City, TX 79928. The listed phone number is (915) 337-3190.

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 45D2324040) is associated with this NPI, valid through May 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 46 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 November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.