ALBERTSONS LLC (NPI# 1821035346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821035346 |
| Entity Type | Organization |
| Organization Name | ALBERTSONS LLC |
| Other Organization Name | ALBERTSONS PHARMACY |
| Practice Address |
1850 30th St Boulder CO 80301-1016 |
| Practice Telephone | 3037867082 |
| Practice Fax Number | 3034473986 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LORENZO TORRES (NEW STORE ENROLLMENTS) |
| Authorized Official Telephone | 8479164463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 90000005 | CO | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0616702 | 01 |
| Other Name | Type Code |
|---|---|
| ALBERTSONS 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 |
1850 30TH ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A 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 dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831418581 | Pdc Pharmacy Colorado Inc | Pharmacy | 4665 Nautilus Ct S Ste 101, Boulder, CO 80301-3263 | 2010-05-20 |
| 1144456153 | Clinica Campesina Family Health Services | Pharmacy | 2525 13th St Fl 1, Boulder, CO 80304-4104 | 2009-06-04 |
| 1265676100 | Elkhorn Pharmacy Inc | Pharmacy | 215 N Main, Boulder, MT 59632-0026 | 2009-04-22 |
| 1528121910 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 2700 Broadway St, Boulder, CO 80304 | 2006-12-18 |
| 1790850055 | Kaiser Foundation Health Plan of Colorado | Pharmacy | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923870 | Professional Pharmacy Services, Inc. | Pharmacy | 4775 Larimer Pkwy Ste 101, Johnstown, CO 80534-9022 | 2020-08-21 |
| 1891305108 | Apex Pharmacy LLC | Pharmacy | 12597 E Mississippi Ave Unit 300, Aurora, CO 80012-3460 | 2020-08-03 |
| 1487275129 | Shavano Pharmacy LLC | Pharmacy | 415 Us Highway 24 N, Buena Vista, CO 81211 | 2020-05-05 |
| 1679107486 | Scriptdash Inc | Pharmacy | 1062 Delaware St, Denver, CO 80204-4033 | 2020-03-02 |
| 1518439280 | Eating Recovery Center Pharmacy | Pharmacy | 8199 East 1st Ave, Ste 110, Denver, CO 80230-8023 | 2018-12-19 |
| 1578055810 | Crx Pharmacy LLC | Pharmacy | 206 W County Line Rd Ste 100, Highlands Ranch, CO 80129-2319 | 2018-06-02 |
| 1578050423 | Apotheca LLC | Pharmacy | 171 N. Cora St., Suite 100, Ridgway, CO 81432 | 2018-04-17 |
| 1639689904 | Evans Army Community Hospital | Pharmacy | 565 Space Center Dr Ste 130, Colorado Springs, CO 80915-3610 | 2017-10-02 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1730612425 | Walmart Inc. | Pharmacy | 9400 Ralston Rd, Arvada, CO 80002-2004 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
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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.