NPI age
8 years
Enumerated 2017-06-08
● Active Type 2 · Organization
Subpart
Albertsons Llc
Albertsons Llc is 1 of 505 dietitian, registered organizations in Idaho.
Primary specialty
Dietitian, Registered
Plus 1 secondary
Practice locations
6
5 secondary on file
Status
Active
No deactivations on record
Authorized official
Eliopulos
Asst Mgr, Pharmacy Enrollments
Last NPPES update
2018-08-10
Source: monthly bulk 2026-05
How this organization compares
Across 505 active dietitian, registered providers in Idaho.
NPI age
8 years
≈ at median (7 yr)
Practice locations
6
5 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-06Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
1219 S Broadway Ave
Boise, ID 83706
Mailing address
250 E Parkcenter Blvd
Boise, ID 837063940
Additional practice locations
5 secondary locations on file with NPPES.
Location 2
250 E Parkcenter Blvd
Boise, ID 837063940
Location 3
909 E Parkcenter Blvd
Boise, ID 837066721
Location 4
1653 S Vista Ave
Boise, ID 837053172
Location 5
1650 W State St
Boise, ID 837024040
Location 6
250 S Eagle Rd
Eagle, ID 836165906
Authorized official
Tiffany Eliopulos
Asst Mgr, Pharmacy Enrollments
📞 2083953906
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Cade Farmer, RPH Pharmacist NPI 1285419192
- Michael Hembree Pharmacist NPI 1467930743
- Katie Jindrich, PHARMD Pharmacist NPI 1457642696
- Don Nguyen Pharmacist NPI 1063034668
- Michelle Sugden, PHARMD Pharmacist NPI 1669998985
- Jennifer Ward, PHARM.D. Pharmacist NPI 1760778419
- Jiancheng Wu, PHARMD Pharmacist NPI 1144601402
Specialties
-
Dietitian, Registered PrimaryA Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
-
PharmacyA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 20011403 | NORIDIAN PROVIDER NO |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ALBERTSONS PHARMACY
-
SAV-ON PHARMACY
Practice context
Multi-provider organization. 7 individual providers on file at this primary address. Plus 5 secondary practice locations.
Subpart of Albertsons Companies Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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