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SAV-ON PHARMACY #4131
NPI 1982650487
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Active since May 26, 2006CLIA 05D1038833 · Waiver
3901 CRENSHAW BLVD, LOS ANGELES, CA 90008(323) 295-3330(323) 295-3445 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2020, Sep 28, 2018, Sep 16, 2017 and 1 more (4 updates tracked since 2016).

About Sav-on Pharmacy #4131 NPPES

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

SAV-ON PHARMACY #4131 (NPI 1982650487) is a healthcare organization registered as a community/retail pharmacy in Los Angeles, 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

NPI1982650487
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address3901 CRENSHAW BLVDLos Angeles, CA 90008-2522
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(323) 295-3330
Fax(323) 295-3445
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 6, 20204 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
✔ NPI 1982650487 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 · PHY51387
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
3901 CRENSHAW BLVD, Los Angeles, CA 90008
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Other Names 1

Doing Business AsSav-on Pharmacy #4131

Other Identifiers 2

Other2065088Pk
Medicaid071PHA513870CA

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 05D1038833

Sav On Pharmacy #4131 · Los Angeles, CA
Active · expires Mar 28, 2027
CLIA Number05D1038833
Laboratory TypePharmacy
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorJimmy Change, Rph
Laboratory Phone(323) 295-3330
Laboratory LocationSav On Pharmacy #41313901 Crenshaw Blvd, Los Angeles, CA 90008
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 11

Medicare supplier enrollment and the product categories Sav-On Pharmacy #4131 carries, from the Medicare DMEPOS supplier directory.

Sav-On Pharmacy #4131

DMEPOS supplier · Los Angeles, CAOperated by Albertsons LLC
⋮

Does not accept Medicare assignment

Sav-On Pharmacy #4131 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)20626451
Medicare Participant SinceJanuary 1, 2001
Supplier Location3901 Crenshaw BlvdLos Angeles, CA 90008
Phone(323) 295-3330
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 2

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

JIMMY CHANG PHARM. D.
Pharmacist
3901 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 295-3330
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
3901 CRENSHAW BLVD
LOS ANGELES, CA 90008
Los Angeles County (323) 295-3330

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 1982650487. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Sav-On Pharmacy #4131.

Where is Albertsons LLC located?

Albertsons LLC is located at 3901 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (323) 295-3330.

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 #4131 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 05D1038833) 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 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.