OrganizationActive
Albertsons LLC
NPI 1689620239 · Community/Retail Pharmacy · South Gate, CA
Provider details
- NPI number
- 1689620239
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tiffany Eliopulos, Assistant Manager, Enrollments(208) 395-3906
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
4155 Tweedy Blvd
South Gate, CA 90280
Phone: (323) 569-0744
Fax: (323) 569-3469
Street-level locationGet directions
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other names (DBA / former)
- Doing business as
- Sav-On Pharmacy #0142
- Doing business as
- Sav-On Pharmacy #0142
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2018-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.