Albertsons LLC

Community/Retail Pharmacy · Wylie, TX

Organization Active NPI

NPI number 1760420897

Practice location

921 S Westgate Way
Wylie, TX 75098-4947
Phone
(972) 429-4951
Fax
(972) 429-8521

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NPI record

NPI
1760420897
Entity type
Organization (Type 2)
Enumeration date
June 2, 2006
Last updated
April 6, 2020
Certified
April 6, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X 22289 TX
Durable Medical Equipment & Medical Supplies 332B00000X — —
Pharmacy 333600000X — —

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Name
Kathy Giannakopoulos
Title
Enrollment Manager
Phone
(208) 395-3954

Other names

  • Tom Thumb Pharmacy #4239
  • Tom Thumb Pharmacy #4239

About Albertsons LLC

Albertsons LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 921 S Westgate Way, Wylie, TX 75098-4947. The NPI number 1760420897 was assigned on June 2, 2006 and the record was last updated on April 6, 2020.

Albertsons LLC lists a license in the registry: #22289 (TX) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Kathy Giannakopoulos, Enrollment Manager.

Frequently asked questions

What is the NPI number of Albertsons LLC?

The NPI number is 1760420897.

What is the phone number of Albertsons LLC?

The phone number listed for the practice location is (972) 429-4951.

Where is Albertsons LLC located?

921 S Westgate Way, Wylie, TX 75098-4947.

What is the taxonomy code for Albertsons LLC?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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