Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Denison, TX. Organization (NPI-2).
NPI number1104863547
StatusActive
Last updated in NPPESJun 16, 2025
Details
- NPI
- 1104863547
- Entity type
- Organization (NPI-2)
- Legal business name
- Albertsons LLC
- Organization subpart
- No
- Enumeration date
- Jun 2, 2006
- Certification date
- Jun 16, 2025
- Last updated
- Jun 16, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 14827 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Albertsons Pharmacy #0716 (Doing Business As)
Practice location
200 W Crawford StDenison, TX 75020-4604
Phone 903-465-6182 · Fax 903-463-4772
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enrollment Manager
2083953954
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Community/Retail Pharmacy providers in Denison · All 759 providers in Denison
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