NPI 1376580837 · live from the CMS NPI Registry
Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Grand Prairie, TX. National Provider Identifier 1376580837, active.
NPI record
| NPI | 1376580837 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 215 N Carrier Pkwy, Grand Prairie, TX 75050 |
| Practice phone | 972-642-8888 |
| Mailing address | 250 E Parkcenter Blvd, Boise, ID 83706 |
| Enumerated | June 1, 2006 |
| Last updated | June 17, 2025 |
| Authorized official | Kathy Giannakopoulos, Enrollment Manager |
| Other names | Albertsons Pharmacy #4231 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 20877 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.