OrganizationActive
Jewel Osco Southwest LLC
NPI 1629169289 · Community/Retail Pharmacy · Boise, ID
Jewel Osco Southwest LLC is a Community/Retail Pharmacy organization in Boise, ID (NPI 1629169289).
Provider details
- NPI number
- 1629169289
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Albertsons Holdings LLC
- Organization subpart
- Yes
- Authorized official
- Lorenzo Torres, Pharmacy Enrollment Specialist(208) 395-3963
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
250 E Parkcenter Blvd
Boise, ID 83706-3940
Phone: (208) 395-3963
Fax: (623) 336-6363
Street-level locationGet directions
Mailing address
75 Remittance Drive
Chicago, IL 60675-1242
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2022-07-21
Frequently asked questions
- What is Jewel Osco Southwest LLC's NPI number?
- Jewel Osco Southwest LLC's National Provider Identifier (NPI) is 1629169289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jewel Osco Southwest LLC?
- Jewel Osco Southwest LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jewel Osco Southwest LLC located?
- Jewel Osco Southwest LLC's practice location on file with NPPES is 250 E Parkcenter Blvd, Boise, ID 83706-3940.
- What is Jewel Osco Southwest LLC's phone number?
- The practice phone number listed in the NPPES registry for Jewel Osco Southwest LLC is (208) 395-3963.
- Who is the authorized official for Jewel Osco Southwest LLC?
- The authorized official listed on Jewel Osco Southwest LLC's NPPES record is Lorenzo Torres, Pharmacy Enrollment Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jewel Osco Southwest LLC's NPI active?
- Yes — Jewel Osco Southwest LLC's NPI (1629169289) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.