ALBERTSONS LLC (NPI# 1104865583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104865583 |
| Entity Type | Organization |
| Organization Name | ALBERTSONS LLC |
| Other Organization Name | OSCO PHARMACY |
| Practice Address |
99 S Higley Rd Higley AZ 85236-4302 |
| Practice Telephone | 4808130855 |
| Practice Fax Number | 4808138933 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | LORENZO TORRES (NEW STORE ENROLLMENTS) |
| Authorized Official Telephone | 8479164463 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | Y04008 | AZ | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0328446 | 01 |
| Other Name | Type Code |
|---|---|
| OSCO 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 |
99 S HIGLEY RD |
| City | HIGLEY |
| State | AZ |
| Zip Code | 85236-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629585088 | Denise C Harriman | Nurse Practitioner | 3324 E Ray Rd, #572, Higley, AZ 85236 | 2018-01-08 |
| 1346466026 | Heidi Lee Knoblock | Social Worker | 3324 E. Ray Rd. #2174, Higley, AZ 85236 | 2007-04-18 |
| 1063636777 | Lauren's Institute for Education | Day Training, Developmentally Disabled Services | 1703 S. Jacana Lane, Higley, AZ 85236 | 2007-04-12 |
| 1619135027 | Industrial Hand and Physical Therapy Inc | Clinic/Center | 1355 S Higley Rd, #101, Higley, AZ 85236 | 2008-06-02 |
| 1396804084 | Vincent Robert Hernandez | Emergency Medicine | 5656 S Power Rd, Gilbert Hospital, Gilbert, AZ 85236 | 2006-12-08 |
| 1144392515 | Mark A Kerr | Dentist | 1355 S Higley Rd, Suite 116, Higley, AZ 85236 | 2006-11-14 |
| 1831295971 | Richard C Carey | Emergency Medicine | 5656 S Power Rd, Gilbert Hospital, Gilbert, AZ 85236 | 2006-09-16 |
| 1114930492 | Timothy A Johns | Emergency Medicine | 5656 S Power Rd, Gilbert Hospital, Gilbert, AZ 85236 | 2006-08-15 |
| 1770596934 | Gilbert Emergency Medicine Specialists LLC | Emergency Medicine | 5656 S Power Rd, Gilbert Hospital, Gilbert, AZ 85236 | 2006-08-15 |
| 1083669287 | Kathleen Petkovsky | Physical Therapist | 1355 S Higley Rd, Suite 101, Higley, AZ 85236 | 2006-05-24 |
| Find all providers in zip 85236 | ||||
| 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 |
|---|---|---|---|---|
| 1386244861 | Canyonlands Community Healthcare | Pharmacy | 103 Fairgrounds Rd, Duncan, AZ 85534-8234 | 2020-10-26 |
| 1790384212 | Copilot Provider Support Services | Pharmacy | 8700 East Pinnacle Peak Road Ste 111, Johnson Bank Building, Scottsdale, AZ 85255-8525 | 2020-10-26 |
| 1366041501 | White Nile | Pharmacy | 4338 W Thomas Rd Unit E5, Phoenix, AZ 85031-3878 | 2020-10-20 |
| 1366050536 | Mariposa Community Health Center | Pharmacy | 1103 Circulo Mercado, Rio Rico, AZ 85648-6248 | 2020-07-14 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1952924847 | Cheryl Mackie | Pharmacy | 8010 E Mcdowell Rd Ste 201-206, Scottsdale, AZ 85257-3867 | 2020-05-26 |
| 1306472865 | Cordant Pharmacy Arizona, LLC | Pharmacy | 6641 E Baywood Ave Ste 101, Mesa, AZ 85206-1723 | 2020-03-17 |
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1811532609 | Nexus Patient Services | Pharmacy | 5080 N 40th St Ste 300, Phoenix, AZ 85018-2164 | 2019-11-15 |
| 1649813320 | Hi-health-rx LLC | Pharmacy | 15207 N 75th St Ste 105, Scottsdale, AZ 85260-2445 | 2019-10-24 |
| 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.