ALBERTSONS LLC (NPI# 1376758656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376758656 |
| Entity Type | Organization |
| Organization Name | ALBERTSONS LLC |
| Other Organization Name | SAV-ON PHARMACY #0552 |
| Practice Address |
27702 Crown Valley Pkwy Suite B Ladera Ranch CA 92694-0608 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 9493642098 |
| Practice Fax Number | 9493642198 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | KATHY GIANNAKOPOULOS (ENROLLMANT 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY51296 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 071PHA483980 | 05 | |
| PK | 2112412 | 01 |
| Other Name | Type Code |
|---|---|
| SAV-ON PHARMACY #0552 | Doing Business As Name - Organization |
| SAVON PHARMACY | 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 |
27702 CROWN VALLEY PKWY SUITE B |
| City | LADERA RANCH |
| State | CA |
| Zip Code | 92694-0608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497743850 | Michelle Ann Higley | Anesthesiology | 27702 Crown Valley Pkwy, D4, Ladera Ranch, CA 92694-0608 | 2005-10-11 |
| 1518324334 | Niloufar Hedayat, O.d., Inc. | Optometrist | 27702 Crown Valley Pkwy, Suite A-3, Ladera Ranch, CA 92694-0608 | 2016-01-25 |
| 1679948020 | Mariclaire Gladys Tajonera | Pharmacist | 27702 Crown Valley Pkwy, Suite I, Ladera Ranch, CA 92694-0608 | 2015-12-10 |
| 1982078440 | Sylvia Swiderska-krawczyk | Pharmacist | 27702 Crown Valley Pkwy, Ladera Ranch, CA 92694-0608 | 2015-11-20 |
| 1164804126 | Pejman Eskandani | Pharmacist | 27702 Crown Valley Pkwy, Ladera Ranch, CA 92694-0608 | 2015-06-25 |
| 1831595024 | Summit Medical Group | Internal Medicine | 27702 Crown Valley Pkwy, Suite D4-113, Ladera Ranch, CA 92694-0608 | 2014-11-14 |
| 1740622877 | Securecardio, LLC | Physiological Laboratory | 27702 Crown Valley Pkwy, #d4-150, Ladera Ranch, CA 92694-0608 | 2013-07-17 |
| 1154635126 | David Stanley Mccann | Dentist | 27702 Crown Valley Pkwy, Ste A2, Ladera Ranch, CA 92694-0608 | 2010-08-02 |
| 1982854675 | Gina Lynn Ross | Physical Therapy Assistant | 27702 Crown Valley Pkwy, D-4 #442, Ladera Ranch, CA 92694-0608 | 2008-09-30 |
| 1831363910 | Brad Roelofs | Technician, Cardiology | 27702 Crown Valley Pkwy, D4149, Ladera Ranch, CA 92694-0608 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1932690054 | Lauren Pamela Ramirez | Speech-Language Pathologist | 777 Corporate Dr. Ste #230, Ladera Ranch, CA 92694 | 2018-05-24 |
| 1568985091 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 30551 Gateway Pl, Rancho Mission Viejo, CA 92694 | 2017-07-17 |
| 1730635467 | Ginger Renee Hopkins | Physical Therapist | 2 Newkirk Road, Ladera Ranch, CA 92694 | 2016-09-01 |
| 1003283987 | Vigliarolo, D.d.s. Dental Corp | Dentist | 600 Corporate Dr #220, Ladera Ranch, CA 92694 | 2015-08-27 |
| 1629450358 | Medhat Fahim | Pharmacist | 27702 Crown Vally # B, Ladera Ranch, CA 92694 | 2015-06-18 |
| 1508291436 | Lucas Bingham M.d., Inc. | Dermatology | 600 Corporate Dr Ste 100, Ladera Ranch, CA 92694 | 2013-09-11 |
| 1861770083 | Christina Marie Bowles | Nurse Practitioner | 22 Downing St, Ladera Ranch, CA 92694 | 2011-07-22 |
| 1730499328 | Kimberly Ann Frank | Registered Nurse | 74 Garrison Loop, Ladera Ranch, CA 92694 | 2010-10-15 |
| 1578889390 | Let's Talk Speech & Language Therapy | Speech-Language Pathologist | 7 Merriweather Pl., Ladera Ranch, CA 92694 | 2010-04-19 |
| Find all providers in zip 92694 | ||||
| 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 |
|---|---|---|---|---|
| 1013015593 | Garfield Beach Cvs LLC | Pharmacy | 25622 Crown Valley Pkwy, Ladera Ranch, CA 92694-0464 | 2006-09-20 |
| 1265461206 | Gelsons Markets | Pharmacy | 25636 Crown Valley Pkwy, Ladera Ranch, CA 92694-0464 | 2006-07-02 |
| 1831133180 | Garfield Beach Cvs LLC | Pharmacy | 27702 Crown Valley Pkwy, Ladera Ranch, CA 92694-0609 | 2006-06-16 |
| 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 | LADERA RANCH |
| Zip Code | 92694 |
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| 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.