Active NPI
Albertsons LLC
Doing business as Albertsons Pharmacy
- Registered Dietitian
- Boise, ID
National Provider Identifier
1457880940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- ALBERTSONS LLC
- Doing business as
- Albertsons Pharmacy
Sav-on Pharmacy - Practice address
- 1219 S Broadway Ave
Boise, ID 83706 - Phone
- (208) 433-9905
- Fax
- (208) 433-9907
- NPI assigned
- Jun 8, 2017
- Last updated
- Aug 10, 2018
- Organization subpart
- Yes
- Parent organization
- ALBERTSONS COMPANIES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Eliopulos
- Title
- Asst MGR, Pharmacy Enrollments
- Phone
- (208) 395-3906
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1219 S Broadway Ave
Boise, ID 83706
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Phone (208) 395-3963
Other practice location 1
250 E Parkcenter Blvd
Boise, ID 83706-3940
Phone (208) 395-3963
Other practice location 2
909 E Parkcenter Blvd
Boise, ID 83706-6721
Phone (208) 338-3722
Other practice location 3
1653 S Vista Ave
Boise, ID 83705-3172
Phone (208) 331-3007
Other practice location 4
250 S Eagle Rd
Eagle, ID 83616-5906
Phone (208) 939-9854
Other practice location 5
1650 W State St
Boise, ID 83702-4040
Phone (208) 344-8660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20011403 | Other | ID | NORIDIAN PROVIDER NO |
Other names 2
- ALBERTSONS PHARMACY
- SAV-ON PHARMACY
National Provider Directory
National Provider Directory- Part of
- Albertsons Companies Inc
Locations
1650 W State St
Boise, ID 83702
Phone (208) 342-5651
33171 Collection Ctr Dr
Chicago, IL 60693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533859200000",
"number": "1457880940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E PARKCENTER BLVD",
"city": "BOISE",
"state": "ID",
"postal_code": "837063940",
"telephone_number": "208-395-3963",
"fax_number": "623-336-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 S BROADWAY AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "83706",
"telephone_number": "208-433-9905",
"fax_number": "208-433-9907"
}
],
"practiceLocations": [
{
"address_1": "250 E Parkcenter Blvd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837063940",
"country_code": "US",
"telephone_number": "208-395-3963",
"fax_number": "623-336-6363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "909 E Parkcenter Blvd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837066721",
"country_code": "US",
"telephone_number": "208-338-3722",
"fax_number": "208-338-3739",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1653 S Vista Ave",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837053172",
"country_code": "US",
"telephone_number": "208-331-3007",
"fax_number": "208-331-3029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 S Eagle Rd",
"address_purpose": "LOCATION",
"city": "Eagle",
"state": "ID",
"postal_code": "836165906",
"country_code": "US",
"telephone_number": "208-939-9854",
"fax_number": "208-939-2721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1650 W State St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837024040",
"country_code": "US",
"telephone_number": "208-344-8660",
"fax_number": "208-343-1343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALBERTSONS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALBERTSONS COMPANIES INC",
"enumeration_date": "2017-06-08",
"last_updated": "2018-08-10",
"status": "A",
"authorized_official_last_name": "ELIOPULOS",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "ASST MGR, PHARMACY ENROLLMENTS",
"authorized_official_telephone_number": "208-395-3906"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORIDIAN PROVIDER NO",
"identifier": "20011403",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ALBERTSONS PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SAV-ON PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Boise, ID
- Albertsons LLC (Sav-on Pharmacy #0162)
- Albertsons LLC (Albertsons Pharmacy #0199)
- Albertsons LLC (Sav-on Pharmacy #0154)
- Albertsons LLC (Sav-on Pharmacy #0193)
- Albertsons LLC
- Albertsons LLC (Sav-on Pharmacy #0161)
- Albertsons LLC (Sav-On Pharmacy #3339)
- Albertsons LLC (Sav-on Pharmacy #0160)
- Albertsons LLC (Sav-on Pharmacy #0156)
- Albertsons LLC (Sav-on Pharmacy #0169)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.