Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Albertsons LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1396113510

Albertsons LLC is a Durable Medical Equipment & Medical Supplies in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21001 N Tatum Blvd Ste 76
Phoenix, AZ 85050-4239
Phone: (480) 585-1510
Fax: (480) 585-1986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence Y006542 (AZ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1396113510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Giannakopoulos — Enrollment Manager · (208) 395-3954
Other names Albertsons Pharmacy #0025
NPI enumeratedSeptember 3, 2015
Last updated in NPPESApril 1, 2020
Certification dateApril 1, 2020
Mailing address250 E Parkcenter Blvd, Boise, ID 83706-3940

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