NPI 1821443631 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Tigard, OR. National Provider Identifier 1821443631, active.
NPI record
| NPI | 1821443631 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 14300 Sw Barrows Rd, Tigard, OR 97223 |
| Practice phone | 503-590-0411 |
| Mailing address | 250 E Parkcenter Blvd, Ms Sec2-B, Boise, ID 83706 |
| Enumerated | April 29, 2016 |
| Last updated | September 23, 2023 |
| Authorized official | Kathy Giannakopoulos, Assistant Manager, Enrollments |
| Other names | Safeway Pharmacy #3542 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | RP-0001617 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.