Albertsons LLC

Community/Retail Pharmacy · Longview, TX

Organization Active NPI

NPI number 1881631349

Practice location

3603 McCann Rd
Longview, TX 75605-5309
Phone
(903) 663-2056
Fax
(903) 663-6791

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NPI record

NPI
1881631349
Entity type
Organization (Type 2)
Enumeration date
June 1, 2006
Last updated
June 16, 2025
Certified
June 16, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X 14823 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

  • Albertsons Pharmacy #4112

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 3603 McCann Rd, Longview, TX 75605-5309. The NPI number 1881631349 was assigned on June 1, 2006 and the record was last updated on June 16, 2025.

Albertsons LLC lists a license in the registry: #14823 (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 1881631349.

What is the phone number of Albertsons LLC?

The phone number listed for the practice location is (903) 663-2056.

Where is Albertsons LLC located?

3603 McCann Rd, Longview, TX 75605-5309.

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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