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Active NPI 1881640407 Organization (Entity Type 2)

Albertsons Llc

Pharmacy - Community/Retail Pharmacy • Redlands, CA

About Albertsons Llc NPI 1881640407 Summary

Albertsons Llc is a verified healthcare organization specializing in Pharmacy - Community/Retail Pharmacy operating in Redlands, CA. Located at 450 E CYPRESS AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1881640407.

Administrative operations and authorized compliance are overseen by Kathy Giannakopoulos (Enrollment Manager).

The facility is associated with 7 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

450 E Cypress Ave

Redlands, CA 923736115

Telephone 9097932218
Fax 9097925497

Authorized Official Information

Authorized Contact Name

Kathy Giannakopoulos

Title / Role

Enrollment Manager

Official Telephone

2083953954

Facility Classifications & Specialties

Pharmacy - Community/Retail Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 3336C0003X

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Pharmacy

NUCC Taxonomy Code: 333600000X

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

7 Linked

Pharmacist

Redlands, CA

View Practitioner Profile →

Pharmacist

Redlands, CA

View Practitioner Profile →
Ngoc Nguyen NPI 1295278869

Pharmacist

Redlands, CA

View Practitioner Profile →
Charles Ho , RPH NPI 1407184732

Pharmacist

Redlands, CA

View Practitioner Profile →
Omar Assali NPI 1487033379

Pharmacist

Redlands, CA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

12 Historical Events
📍
Updated Business Mailing Address April 03, 2020

Registered at 250 E PARKCENTER BLVD, BOISE, ID 837063940

NPI Profile Active September 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2017

Registered at 450 E CYPRESS AVE, REDLANDS, CA 923736115 (Tel: 9097932218)

📍
Updated Business Mailing Address September 22, 2017

Registered at 250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 837063940 (Tel: 2083953436)

🏛️
Organization / Clinic Name Updated September 22, 2017

Operating as ALBERTSONS LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2017

Durable Medical Equipment & Medical Supplies

NPI Profile Active January 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2016

Registered at 450 E CYPRESS AVE, REDLANDS, CA 923736115 (Tel: 9097932218)

📍
Updated Business Mailing Address January 11, 2016

Registered at 250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 837063940 (Tel: 2083953436)

🏛️
Organization / Clinic Name Updated January 11, 2016

Operating as ALBERTSONS LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2016

Durable Medical Equipment & Medical Supplies

🟢
Initial NPI Registration & Enumeration May 25, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1881640407
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 25, 2006
Last Update: April 03, 2020

Mailing Address

250 E Parkcenter Blvd

Boise, ID 837063940

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.