American Drug Stores LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

AMERICAN DRUG STORES LLC

Doing business as

Osco Drug

Practice address

250 E Parkcenter Blvd
Boise, ID 83706

Phone

(208) 395-3963

Fax

(623) 336-6363

NPI assigned

Oct 3, 2006

Last updated

Jun 7, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

ALBERTSONS COMPANIES INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathy Giannakopoulos

Title

Manager, Enrollments

Phone

(208) 395-3954

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• OSCO DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Osco Drug 989185 organizations share this tax ID, including this one

Part of

Albertsons Companies Inc

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Albertsons LLC

  dba Sav-On Pharmacy #3174

  • Community/Retail Pharmacy
  • Ammon, ID
  • NPI 1922055383

  Member Of

  NPD member
• Albertsons LLC

  dba Albertsons Savon Pharmacy

  • Community/Retail Pharmacy
  • Irving, TX
  • NPI 1306889472

  Member Of

  NPD member
• Safeway Inc

  dba Safeway Phamracy #4837

  • Community/Retail Pharmacy
  • District Heights, MD
  • NPI 1588600191

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1669566626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742382",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742382",
            "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": "250 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-395-3963",
            "fax_number": "623-336-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DRUG STORES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBERTSONS COMPANIES INC",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "GIANNAKOPOULOS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MANAGER, ENROLLMENTS",
        "authorized_official_telephone_number": "208-395-3954"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00036571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSCO DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kalin Amende, PHD, LPC, PCLC
• Jaume Amengual
• Hunter Meagan Ament, PHARM.D.
• America's Best Contacts & Eyeglasses
• American Current Care of Idaho LLC (Concentra Urgent Care)
• American Partners LP (Osco Drug)
• Patrick Ames
• Madison Amezquita
• Nicole L. Amideo, PA-C
• Jonathan Amissa

• Community/Retail Pharmacy in Boise, ID
• Providers in Boise, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.