Active NPIOrganization

Albertsons LLC

Pharmacy, Community/Retail Pharmacy in Bend, Oregon

NPI Number1780039511
Practice location
61155 S Hwy 97, Bend, OR 97702-2523
Fax
541-317-4608
Last updated
April 25, 2023

Albertsons LLC is a healthcare organization based in Bend, OR. The NPI number for Albertsons LLC is 1780039511 and holds license No. RP-0002417 (OR). The current practice location address is 61155 S Hwy 97, Bend, OR 97702-2523 and the office can be reached by phone at 541-382-1444 and by fax at 541-317-4608. The NPI was assigned on April 29, 2016 and the record was last updated in NPPES on April 25, 2023.

●Provider Profile Details

NPI Number
1780039511
Provider Name
Albertsons LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Kathy Giannakopoulos · Enrollment Manager · 208-395-3954
Enumeration Date
April 29, 2016
Last Update Date
April 25, 2023
Certification Date
April 25, 2023
NPI Status
Active
Other Names
Safeway Pharmacy #3553 (Doing Business As)

◉Business Practice Location Address

Address
61155 S Hwy 97
Bend, OR 97702-2523
City
Bend
State
Oregon
ZIP
97702-2523
Country
US
Phone Number
541-382-1444
Fax Number
541-317-4608

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✉Business Mailing Address

Address
250 E Parkcenter Blvd
Boise, ID 83706-3940
City
Boise
State
ID
ZIP
83706-3940

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Durable Medical Equipment & Medical Supplies332B00000XNo——
Pharmacy, Community/Retail Pharmacy3336C0003XYesRP-0002417OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Albertsons LLC?

The NPI number of Albertsons LLC is 1780039511. It was assigned on April 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Albertsons LLC?

Albertsons LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X) and holds license No. RP-0002417 (OR).

Where does Albertsons LLC practice?

The practice location is 61155 S Hwy 97, Bend, OR 97702-2523. The office can be reached at 541-382-1444 (phone) or 541-317-4608 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780039511 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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