ALBERTSONS LLC (NPI# 1235313735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235313735 |
| Entity Type | Organization |
| Organization Name | ALBERTSONS LLC |
| Other Organization Name | OSCO PHARMACY #0062 |
| Practice Address |
2625 E 2nd St Casper WY 82609-2045 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 3072347159 |
| Practice Fax Number | 3072370971 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | KATHY GIANNAKOPOULOS (ENROLLMENT MANGER) |
| 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 |
R10150 | WY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 125397200 | 05 | |
| PK | 2111701 | 01 |
| Other Name | Type Code |
|---|---|
| OSCO PHARMACY #0062 | 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 |
2625 E 2ND ST |
| City | CASPER |
| State | WY |
| Zip Code | 82609-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793350 | Christina J. Tiensvold | Pharmacy Technician | 2625 E 2nd St, Casper, WY 82609-2045 | 2005-10-10 |
| 1790237733 | Jessica Blom | Pharmacist | 2625 E 2nd St, Casper, WY 82609 | 2016-10-25 |
| 1629448246 | Tiana Pivik | Pharmacist | 2625 E 2nd St, Casper, WY 82609-2045 | 2015-09-25 |
| 1174917090 | Margaret Maveety | Pharmacist | 2625 E 2nd St, Casper, WY 82609-2045 | 2015-03-28 |
| 1548540859 | Travis Fallgren | Pharmacist | 2625 E 2nd St, Casper, WY 82609-2045 | 2011-08-18 |
| 1275843724 | Karla Jean Stanley | Pharmacist | 2625 E 2nd St, Casper, WY 82609-2045 | 2010-10-18 |
| 1124337712 | Wade Morrow | Pharmacist | 2625 E 2nd St, Casper, WY 82609-2045 | 2010-09-29 |
| 1386682706 | Albertsons LLC | Pharmacy | 2625 E 2nd St, Casper, WY 82609-2045 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| 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 |
|---|---|---|---|---|
| 1306484092 | Compounding Specialists LLC | Pharmacy | 1540 Centennial Ct Unit 100, Casper, WY 82609-7308 | 2019-12-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1861789646 | Geneva Woods Retail Pharmacy, LLC | Pharmacy | 1522 East A St, Casper, WY 82601-2217 | 2011-06-30 |
| 1689689762 | Walgreen Co | Pharmacy | 1071 Cy Ave, Casper, WY 82604-3515 | 2006-07-29 |
| 1770598856 | Walgreen Co | Pharmacy | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2006-07-29 |
| 1184239378 | Jaclyn June Edwards | Pharmacy | 190 Se Wyoming Blvd, Casper, WY 82609-1906 | 2020-09-14 |
| 1194298950 | Pharmworx LLC | Pharmacy | 4641 Sw Wyoming Blvd, Casper, WY 82601-6702 | 2019-01-04 |
| 1023589462 | University of Wyoming | Pharmacy | 1522 E A St, Casper, WY 82601-2217 | 2018-12-11 |
| 1073673042 | Community Health Center of Central Wyoming Inc | Pharmacy | 5000 Blackmore Rd, Casper, WY 82609-3345 | 2006-12-11 |
| 1962448738 | Ridleys Family Markets Inc | Pharmacy | 1375 Cy Ave, Casper, WY 82604-3513 | 2006-06-21 |
| Find all providers in CASPER | ||||
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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.