Albertsons LLC
Albertsons LLC is a healthcare organization registered as Community/Retail Pharmacy in Boise, ID, holding Type 2 (organization) NPI 1073551214 since 2006. The authorized official on file is Kathy Giannakopoulos, Enrollment Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073551214 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Albertsons LLC |
| Other name | <Unavail> |
| Practice address | 1219 S BROADWAY AVE, Boise, ID, 83706 |
| Phone | 2084339905 |
| Fax | 2084339907 |
| Enumeration date | 2006-06-02 |
| Last updated in NPPES | 2020-04-02 |
Authorized official
| Name | Kathy Giannakopoulos |
|---|---|
| Title | Enrollment Manager |
| Phone | 2083953954 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 21064RP | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807494200 | Medicaid | ID | — |
| 2021613 | Other | — | PK |
| 805229700 | Medicaid | ID | — |
Copy-ready billing details
Provider: Albertsons LLC NPI: 1073551214 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1219 S BROADWAY AVE, Boise, ID, 83706
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457642696 | Katie Jindrich | Individual | Pharmacist | Boise, ID |
| 1760778419 | Jennifer Ward | Individual | Pharmacist | Boise, ID |
| 1144601402 | Jiancheng Wu | Individual | Pharmacist | Boise, ID |
| 1457880940 | Albertsons LLC | Organization | Registered Dietitian | Boise, ID |
| 1669998985 | Michelle Sugden | Individual | Pharmacist | Boise, ID |
| 1467930743 | Michael Hembree | Individual | Pharmacist | Boise, ID |
| 1063034668 | Don Nguyen | Individual | Pharmacist | Boise, ID |
| 1285419192 | Cade Farmer | Individual | Pharmacist | Boise, ID |
Verify this record
Cross-check NPI 1073551214 against the authoritative CMS record: view Albertsons LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Albertsons LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-04-02.