Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Albertsons LLC

Community/Retail Pharmacy in Ammon, ID · enumerated 2006 · authorized official Kathy Giannakopoulos, Enrollment Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922055383

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Registry record

Entity type Organization (Type 2)

Legal business name Albertsons LLC

Other name <Unavail>

Practice address 1901 S 2500 E, Ammon, ID, 83406

Phone (208) 524-1616

Fax (208) 528-6563

Enumeration date May 30, 2006

Last updated in NPPES Apr 3, 2020

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 21055RP (ID) Primary

Authorized official

Name Kathy Giannakopoulos

Title Enrollment Manager

Phone (208) 395-3954

Other identifiers

Identifier	Type	State	Issuer
002256100	Medicaid	ID	-
2021074	Other	-	PK
807494800	Medicaid	ID	-

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.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-04-03. Verify at npiregistry.cms.hhs.gov.

Where is Albertsons LLC located?

The practice location on file with NPPES is in Ammon, ID.

Providers at this address

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Gary Mondell Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Ammon, ID NPI 1942580303

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-03.