ALBERTSONS LLC (NPI# 1871549386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871549386 |
| Entity Type | Organization |
| Organization Name | ALBERTSONS LLC |
| Other Organization Name | SAV-ON PHARMACY #0108 |
| Practice Address |
1735 W Artesia Blvd Gardena CA 90248-3220 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 3103804650 |
| Practice Fax Number | 3103804649 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | KATHY GIANNAKOPOULOS (ENROLLMENT 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 | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY51391 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1997133 | 01 | |
| CA | 071PHA513910 | 05 |
| Other Name | Type Code |
|---|---|
| Sav-On Pharmacy #0108 | 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 |
1735 W ARTESIA BLVD |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528441995 | Janet Chae | Pharmacist | 1735 W Artesia Blvd, Gardena, CA 90248-3220 | 2015-07-03 |
| 1164802377 | Hilarry Dian Broaster | Pharmacist | 1735 W Artesia Blvd, Gardena, CA 90248-3220 | 2015-06-02 |
| 1033598081 | Khanh Tu | Pharmacist | 1735 W Artesia Blvd, Gardena, CA 90248-3220 | 2015-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| 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 |
|---|---|---|---|---|
| 1538487699 | Rite Aid | Pharmacy | 1208 W Redondo Beach Blvd, Gardena, CA 90247-3411 | 2010-05-12 |
| 1316988298 | Garfield Beach Cvs LLC | Pharmacy | 15700 S Western Ave, Gardena, CA 90247-3702 | 2006-06-09 |
| 1750322798 | Garfield Beach Cvs LLC | Pharmacy | 2169 W Redondo Beach Blvd, Gardena, CA 90247-3625 | 2006-06-09 |
| 1316572639 | Medica Inc | Pharmacy | 14133 S Vermont Ave, Gardena, CA 90247-2205 | 2020-03-06 |
| 1215479027 | Gardena Pharmacy Corporation | Pharmacy | 15418 Crenshaw Blvd, Gardena, CA 90249-4524 | 2016-11-09 |
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| 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 | ||||
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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.