Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Albertsons LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1114973039

Albertsons LLC is a Durable Medical Equipment & Medical Supplies in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

715 12th Ave S
Nampa, ID 83651-4254
Phone: (208) 466-3592
Fax: (208) 463-1392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 21062RP (ID)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1114973039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Giannakopoulos — Enrollment Manager · (208) 395-3954
Other names Sav-On Pharmacy #1602
NPI enumeratedMay 25, 2006
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020
Mailing address250 E Parkcenter Blvd, Boise, ID 83706-3940

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