ALBERTSONS LLC (NPI# 1154377521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154377521 |
| Entity Type | Organization |
| Organization Name | ALBERTSONS LLC |
| Other Organization Name | SAVON PHARMACY #4563 |
| Practice Address |
989 Avenida Pico San Clemente CA 92673-3908 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 9493695596 |
| Practice Fax Number | 9493695691 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-04-08 |
| Authorized Official Name | KATHY GIANNAKOPOULOS (ENROLLMENT MANAGER) |
| Authorized Official Telephone | 2083953954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY51354 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2000502 | 01 | |
| CA | 071PHA457770 | 05 | |
| CA | 071PHA477040 | 05 |
| Other Name | Type Code |
|---|---|
| SAVON PHARMACY #4563 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839123 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 1929 W San Marcos Blvd, San Marcos, CA 92078-3903 | 2020-01-03 |
| 1265963672 | Albertsons LLC | Pharmacist | 9111 Dyer St, El Paso, TX 79924-6401 | 2017-03-27 |
| 1235678061 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 7975 Blue Diamond Rd, Las Vegas, NV 89178 | 2017-02-13 |
| 1124572631 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 1910 N Campus Ave, Upland, CA 91784-1667 | 2016-08-12 |
| 1437603958 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 2910 Bicentennial Pkwy, Henderson, NV 89044-4477 | 2016-08-12 |
| 1366802233 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 20 E Wyoming Ave, Homedale, ID 83628-3401 | 2016-03-04 |
| 1568828655 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 190 N Boulder Hwy, Henderson, NV 89015-5308 | 2016-01-06 |
| 1700241692 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 8850 Foothill Blvd, Rancho Cucamonga, CA 91730-3305 | 2015-12-21 |
| 1396113510 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 21001 N Tatum Blvd Ste 76, Phoenix, AZ 85050-4239 | 2015-09-03 |
| 1336449024 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 1018 Casitas Pass Rd, Carpinteria, CA 93013 | 2010-10-27 |
| Street Address |
989 AVENIDA PICO |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687288 | Lauren Wong | Pharmacist | 989 Avenida Pico, San Clemente, CA 92673-3908 | 2020-10-25 |
| 1972958668 | Ken Ong | Pharmacist | 989 Avenida Pico, San Clemente, CA 92673-3908 | 2016-04-30 |
| 1700258746 | Savon #6563 | Pharmacy | 989 Avenida Pico, San Clemente, CA 92673-3908 | 2015-10-29 |
| 1518340397 | Wayne Joseph Di Pietro | Pharmacist | 989 Avenida Pico, San Clemente, CA 92673-3908 | 2015-06-30 |
| 1649651654 | William Bailen | Pharmacist | 989 Avenida Pico, San Clemente, CA 92673-3908 | 2015-06-16 |
| 1710366356 | Amber Choe | Pharmacist | 989 Avenida Pico, San Clemente, CA 92673-3908 | 2015-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407035355 | Ralphs Grocery Company | Pharmacy | 811 Avenida Talega, San Clemente, CA 92673-6523 | 2007-10-29 |
| 1740392679 | R & K Lombard Pharmacy Corp. | Pharmacy | 1001 S El Camino Real Ste A, San Clemente, CA 92672-4284 | 2006-08-31 |
| 1902841802 | Garfield Beach Cvs LLC | Pharmacy | 602 N El Camino Real, San Clemente, CA 92672-4720 | 2006-06-17 |
| 1922042274 | Garfield Beach Cvs LLC | Pharmacy | 638 Camino De Los Mares, San Clemente, CA 92673-2848 | 2006-06-16 |
| 1790324978 | Reza Khodadadi | Pharmacy | 638 Camino De Los Mares, San Clemente, CA 92673-2848 | 2020-01-05 |
| 1700258746 | Savon #6563 | Pharmacy | 989 Avenida Pico, San Clemente, CA 92673-3908 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
Please comment or provide details below to improve the information on ALBERTSONS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.