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 1194771600

Albertsons LLC is a Durable Medical Equipment & Medical Supplies in Hayden, 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

161 W Prairie Ave
Hayden, ID 83835
Phone: (208) 772-7864
Fax: (208) 772-7905
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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 21048RP (ID)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1194771600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Giannakopoulos — Enrollment Manager · (208) 395-3954
Other names Safeway Pharmacy #0254
NPI enumeratedMay 26, 2006
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing address250 E Parkcenter Blvd, Boise, ID 83706-3940

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