- Practice location
- 14300 SW Barrows RD, Tigard, OR 97223-2063
- Phone
- 503-590-0411
- Fax
- 503-590-3804
- Last updated
- September 23, 2023
Albertsons LLC is a healthcare organization based in Tigard, OR. Albertsons LLC practices in Tigard, OR. The NPI Number for Albertsons LLC is 1821443631 and holds a License No. RP-0001617 (OR). The current practice location address for Albertsons LLC is 14300 SW Barrows RD, Tigard, OR 97223-2063 and can be reached out via phone at 503-590-0411 and via fax at 503-590-3804.
Provider Profile Details
- NPI Number
- 1821443631
- Provider Name
- Albertsons LLC
- Provider Entity Type
- Organization
- Address
- 14300 SW Barrows RD, Tigard, OR 97223-2063
- Phone Number
- 503-590-0411
- Fax Number
- 503-590-3804
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Kathy Giannakopoulos · Assistant Manager, Enrollments · 208-395-3954
- Other Names
- Safeway Pharmacy #3542 (Doing Business As)
- Provider Enumeration Date
- April 29, 2016
- Last Update Date
- September 23, 2023
- Certification Date
- September 23, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14300 SW Barrows RD
Tigard, OR 97223-2063 - City
- Tigard
- State
- Oregon
- Zip
- 97223-2063
- Phone Number
- 503-590-0411
- Fax Number
- 503-590-3804
Provider Business Mailing Address Details
- Address
- 250 E Parkcenter Blvd
Ms Sec2-B
Boise, ID 83706-3940 - City
- Boise
- State
- ID
- Zip
- 83706-3940
- Phone Number
- 208-395-3906
- Fax Number
- 623-336-6896
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- RP-0001617
- License State (2)
- OR
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy 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 1821443631. 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), licensed in OR under license number RP-0001617.
Where does Albertsons LLC practice?
The practice location is 14300 SW Barrows RD, Tigard, OR 97223-2063. The office can be reached at 503-590-0411 (phone) or 503-590-3804 (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 1821443631 directly on the NPPES registry website.