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SAV-ON PHARMACY #3859
NPI 1972559995
Pharmacy - Community/Retail Pharmacy in Carson, CA

Active since May 25, 2006CLIA 05D1038850 · Waiver
200 E SEPULVEDA BLVD, CARSON, CA 90745(310) 513-6800(310) 513-6580 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

About Sav-on Pharmacy #3859 NPPES

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

SAV-ON PHARMACY #3859 (NPI 1972559995) is a healthcare organization registered as a community/retail pharmacy in Carson, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1972559995
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address200 E SEPULVEDA BLVDCarson, CA 90745-6323
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(310) 513-6800
Fax(310) 513-6580
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateMay 25, 2006
Last NPPES UpdateApril 6, 20204 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
✔ NPI 1972559995 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 CA · PHY51325
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
200 E SEPULVEDA BLVD, Carson, CA 90745
Open in Google Maps ↗

Other Names 1

Doing Business AsSav-on Pharmacy #3859

Other Identifiers 3

Medicaid071PHA476180CA
Other1998801Pk
Medicaid071PHA456890CA

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 05D1038850

Sav On Pharmacy #3859 · Carson, CA
Active · expires Mar 28, 2027
CLIA Number05D1038850
Laboratory TypePharmacy
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorSteven J. Shepard
Laboratory Phone(310) 513-6800
Laboratory LocationSav On Pharmacy #3859200 East Spulveda Blvd, Carson, CA 90745
CLIA data matches this NPI record on: 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 #3859 carries, from the Medicare DMEPOS supplier directory.

Sav-On Pharmacy #3859

DMEPOS supplier · Carson, CAOperated by Albertsons LLC
⋮

Does not accept Medicare assignment

Sav-On Pharmacy #3859 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)20619443
Medicare Participant SinceJanuary 1, 2001
Supplier Location200 E Sepulveda BlvdCarson, CA 90745
Phone(310) 513-6800
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 4

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

MARIDITH YOSHIDA PHARMD
Pharmacist
200 E SEPULVEDA BLVD
CARSON, CA 90745
Los Angeles County (310) 513-6800
MRS. CUC DINH R.PH
Pharmacist
200 E SEPULVEDA BLVD
CARSON, CA 90745
Los Angeles County (310) 513-6574
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
200 E SEPULVEDA BLVD
CARSON, CA 90745
Los Angeles County (310) 513-6800
DR. EMILY RICCI PHARMD
Pharmacist
200 E SEPULVEDA BLVD
CARSON, CA 90745
Los Angeles County (310) 513-6800

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 1972559995. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Sav-On Pharmacy #3859.

Where is Albertsons LLC located?

Albertsons LLC is located at 200 E Sepulveda Blvd, Carson, CA 90745. The listed phone number is (310) 513-6800.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Sav-On Pharmacy #3859 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Albertsons LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1038850) is associated with this NPI, valid through March 28, 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 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.