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Deactivated NPI 1841237302 Deactivated / Inactive NPI

Albertsons Llc

Pharmacy • Springfield, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Albertsons Llc has officially deactivated this NPI record and ceased active healthcare operations.

Registration / Start Date June 01, 2006

NPI Deactivation Date October 05, 2018

Total Practice Duration ~12 Years of Practice (2006 – 2018)

About Albertsons Llc NPI 1841237302 Summary

Albertsons Llc was a registered healthcare organization specializing in Pharmacy located in Springfield, IL. Operating from its primary practice location at 2779 S 6TH ST, the facility provided medical services under NPI record 1841237302 prior to official deactivation on October 05, 2018.

Administrative records indicate Lorenzo Torres as the registered authorized official.

Facility Location & Contact Primary Location

Facility Address

2779 S 6th St

Springfield, IL 627034071

Telephone 2177442296

Fax 2177449826

Authorized Official Information

Authorized Contact Name

Lorenzo Torres

Official Telephone

8479164463

Facility Classifications & Specialties

Pharmacy Primary Taxonomy

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.

Facility & Registry History Timeline

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

7 Historical Events

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NPI Profile Deactivated October 05, 2018

Record deactivated on October 05, 2018

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2779 S 6TH ST, SPRINGFIELD, IL 627034071 (Tel: 2177442296)

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Updated Business Mailing Address July 08, 2007

Registered at 2779 S 6TH ST, SPRINGFIELD, IL 627034071

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Organization / Clinic Name Updated July 08, 2007

Operating as ALBERTSONS LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacy (License #54009246 in IL)

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Initial NPI Registration & Enumeration June 01, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1841237302

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: June 01, 2006

Last Update: July 08, 2007

Deactivation Date: October 05, 2018

Update or Correct Listing

Mailing Address

2779 S 6th St

Springfield, IL 627034071

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.