ALBERTSONS LLC (NPI# 1942247499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942247499 |
| Entity Type | Organization |
| Organization Name | ALBERTSONS LLC |
| Other Organization Name | ALBERTSONS SAVON PHARMACY |
| Practice Address |
9509 Clark Rd Dallas TX 75249-1400 |
| Practice Telephone | 9722960263 |
| Practice Fax Number | 9722965778 |
| 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 | 16783 | TX | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4596269 | 01 |
| Other Name | Type Code |
|---|---|
| ALBERTSONS 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 |
9509 CLARK RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75249-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376192823 | Jackie D Henderson | Residential Treatment Facility, Physical Disabilities | 7041 Hedgebrook Dr, Dallas, TX 75249 | 2019-09-07 |
| 1609311497 | Tiffany Burleson | Counselor | 5859 Foxglove Ln, Dallas, TX 75249 | 2017-01-03 |
| 1245613470 | Chaquita Gibson | Social Worker | 5637 Paladium Dr, Dallas, TX 75249 | 2015-07-07 |
| 1336566462 | Patrice Moreland | Physical Therapist | 8441 Romanway Drive, Dallas, TX 75249 | 2014-03-26 |
| 1861693392 | Daybreak Community Services | Home Health | 7153 Pineberry, Dallas, TX 75249 | 2007-05-31 |
| 1518381185 | Wal-mart Stores Texas, LLC | Technician/Technologist | 7075 W Wheatland Rd, Dallas, TX 75249-0000 | 2014-02-18 |
| 1467810911 | Total Dimensions Family Services, LLC | Case Management | 7328 Bayberry Ln, Dallas, TX 75249-1013 | 2016-01-29 |
| 1225499346 | Sylvia Clark | Case Manager/Care Coordinator | 7328 Bayberry Ln, Dallas, TX 75249-1013 | 2016-03-17 |
| 1548635030 | Whitney Wofford | Health Educator | 7450 Bayberry Ln, Dallas, TX 75249-1015 | 2015-12-09 |
| 1477080463 | Lady L Overshown | Counselor | 7430 Elderberry Ln, Dallas, TX 75249-1044 | 2017-05-22 |
| Find all providers in zip 75249 | ||||
| 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 |
|---|---|---|---|---|
| 1194349431 | Southern Star Pharmacy 002 | Pharmacy | 7125 Marvin D Love Fwy Ste 105, Dallas, TX 75237-3111 | 2020-06-02 |
| 1386264547 | Amc Pharmacy Inc. | Pharmacy | 655 W Illinois Ave Ste 918, Dallas, TX 75224-1814 | 2020-04-17 |
| 1457918112 | Soch Pharmacy | Pharmacy | 8067 W Virginia Dr # 200, Dallas, TX 75237-3767 | 2019-05-28 |
| 1780159715 | North G Rx LLC | Pharmacy | 9415 Bruton Rd Ste 3104, Dallas, TX 75217-2647 | 2018-10-05 |
| 1699256826 | Arete Group LLC | Pharmacy | 1555 W Mockingbird Ln Ste 208, Dallas, TX 75235-5019 | 2018-08-25 |
| 1427535780 | Medicinesplus LLC | Pharmacy | 2603 Oak Lawn Ave Ste 102, Dallas, TX 75219-4059 | 2018-07-19 |
| 1346727609 | Medicinesplus Integrative Care LLC | Pharmacy | 2603 Oak Lawn Ave Ste 101a, Dallas, TX 75219-4059 | 2018-07-19 |
| 1578093183 | Doughertys Ltc Pharmacy LLC | Pharmacy | 5959 Royal Ln Ste 513, Dallas, TX 75230-3856 | 2017-06-15 |
| 1851838387 | Patmos Consulting LLC | Pharmacy | 5445 La Sierra Dr Ste 202, Dallas, TX 75231-4176 | 2017-01-23 |
| 1518419886 | Rx Professionals LLC | Pharmacy | 1709 Martin Luther King Jr Blvd Ste 2, Dallas, TX 75215-3281 | 2016-11-02 |
| Find all providers in DALLAS | ||||
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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.