SAV ON PHARMACY #0126
NPI 1922054436
Pharmacy - Community/Retail Pharmacy in Emmett, ID

Q: What is Albertsons LLC's NPI number?

The NPI number for Albertsons LLC is 1922054436. It was assigned to this organization in the NPPES registry on May 26, 2006.

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 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2006CLIA 13D1035563 · Waiver

640 HIGHWAY 16, EMMETT, ID 83617(208) 365-4128(208) 365-4264 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 12, 2018, May 10, 2018 and 1 more (4 updates tracked since 2016).

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About Sav On Pharmacy #0126 NPPES

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

SAV ON PHARMACY #0126 (NPI 1922054436) is a healthcare organization registered as a community/retail pharmacy in Emmett, Idaho and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1922054436

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameALBERTSONS LLC

Location Address640 HIGHWAY 16Emmett, ID 83617-9427

Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940

Phone(208) 365-4128

Fax(208) 365-4264

Organization SubpartNo

Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954

Enumeration DateMay 26, 2006

Last NPPES UpdateApril 2, 20204 updates tracked since enumeration

NPPES CertifiedApril 2, 2020

✔ NPI 1922054436 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 ID · 21065RP

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

640 HIGHWAY 16, Emmett, ID 83617

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Other Names 1

Doing Business AsSav On Pharmacy #0126

Other Identifiers 3

Medicaid002257600ID

Medicaid807494400ID

Other2020951Pk

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 13D1035563

Sav-On Pharmacy #0126 · Emmett, ID

Active · expires Jan 4, 2027

CLIA Number13D1035563

Laboratory TypePharmacy

Certificate Effective DateJanuary 5, 2025

Certificate Expiration DateJanuary 4, 2027

Laboratory DirectorTimothy Flynn

Laboratory Phone(208) 365-4128

Laboratory LocationSav-On Pharmacy #0126640 Highway 16, Emmett, ID 83617

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 Sav-On Pharmacy #126 carries, from the Medicare DMEPOS supplier directory.

Sav-On Pharmacy #126

DMEPOS supplier · Emmett, IDOperated by Albertsons LLC

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Does not accept Medicare assignment

Sav-On Pharmacy #126 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)20624831

Medicare Participant SinceJanuary 1, 2001

Supplier Location640 Highway 16Emmett, ID 83617

Phone(208) 365-4128

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.

MR. JIM E. YOUNG RPH

Pharmacist