Albertsons LLC
Pharmacy, Community/Retail Pharmacy in Port Orange, FL. Organization (NPI-2).
NPI number1629015151
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1629015151
- Entity type
- Organization (NPI-2)
- Legal business name
- Albertsons LLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 | – | – | Yes |
| 333600000X | Pharmacy | 8242 | FL |
Other names
- Super Saver Savon Pharmacy (Doing Business As)
Practice location
3803 S Nova RdPort Orange, FL 32129-4201
Phone 386-788-4895 · Fax 386-788-4848
Mailing address
3803 S Nova RdPort Orange, FL 32129-4201
Authorized official
Lorenzo Torres
New Store Enrollments
8479164463
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 9 Community/Retail Pharmacy providers in Port Orange · All 1,907 providers in Port Orange
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