OrganizationActiveAccepts Medicare
Albertsons LLC
NPI 1205875689 · Community/Retail Pharmacy · Mesa, AZ
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1205875689
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kathy Giannakopoulos, Enrollment Manager(208) 395-3954
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1951 W Baseline Rd
Mesa, AZ 85202-9002
Phone: (480) 456-4850
Fax: (480) 456-4890
Street-level locationGet directions
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other names (DBA / former)
- Doing business as
- Osco Drug
- Doing business as
- Osco Drug
- Doing business as
- Osco Drug #0980
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2020-04-03
- Certified
- 2020-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.