Albertsons LLC
Organization Active NPI Community/Retail Pharmacy · Silver City, NM
NPI 1851330237 · NPPES record last updated Apr 6, 2020
Key facts
- NPI
- 1851330237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH00002836 (NM)
- Legal business name
- ALBERTSONS LLC
- Practice address
- 1956 Highway 180 E
Silver City, NM 88061-7781 - Phone
- (575) 388-0133
- Fax
- (575) 388-9648
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathy Giannakopoulos
- Title
- Enrollment Manager
- Phone
- (208) 395-3954
Member of 3
Practitioners 4
-
Jessica Ann Leibold, PHARMD
-
Marcial Martinez, PHARMD
-
Satyen Desai, RPH
-
Emanuel H Solomon, PHARMACIST
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Sav-on Pharmacy #3914 |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Surgical Dressings | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041014000405 | TX | Part B Supplier - Centralized Flu Biller | 8729983515 |
This NPI is an additional NPI on the enrollment Practice locations: Boise, ID |
| O20100930026727 | NM | DME Supplier - Pharmacy |
8729983515 | Practice locations: Silver City, NM |
National Provider Directory
Locations
1956 Highway 180 E
Silver City, NM 88061
Phone (575) 388-0133
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH00002836 | NM | Yes |
Addresses
Primary practice location
1956 Highway 180 E
Silver City, NM 88061-7781
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2058182 | Other | PK | |
| 60134 | Medicaid | NM |
Other names
- SAV-ON DRUGS #3914
Other providers in Silver City, NM
- Holly Adams
- Roberto Aguero Blau
- Tanya Aguilar-Laws
- Tesla Rae Aguirre
- Amber Dawn Alba
- Albuquerque Vamc
- Michael Alcorta
- Aldo Leopold Charter School
- Evan Alfonso
- Anthony Alibah
All providers in Silver City, NM · Community/Retail Pharmacy in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.