NPI age
9 years
Enumerated 2017-03-09
● Active Type 2 · Organization
Subpart
Albertsons Llc
Albertsons Llc is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hawkins
Mgr, Host Admin & Enrollments
Last NPPES update
2017-05-02
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 70% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
250 S Eagle Rd
Eagle, ID 836165906
Mailing address
250 E Parkcenter Blvd, Mailstop Sec2-B
Boise, ID 837063940
Authorized official
Demond Hawkins
Mgr, Host Admin & Enrollments
📞 2083953905
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Steven Cronen Pharmacy Technician NPI 1659939080
- Serena Hand, PHARMD Pharmacist NPI 1982180220
- Christa Louw, B PHARM Pharmacist NPI 1679869606
- Elwalid Mohamed Pharmacist NPI 1669225025
- Michael Roberts, RPH Pharmacist NPI 1700173408
Specialties
-
Pharmacy PrimaryA 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...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | APPLIED FOR | MNT BILLER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SAV-ON PHARMACY
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Albertsons Companies Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.