DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALBERTSONS LLC

MEDICARE: ALBERTSONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy4163LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12033949OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245279629
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBERTSONS LLC
Provider Business Mailing Address
First Line : 250 E PARKCENTER BLVD
Second Line :
City : BOISE
State : ID
Zip : 83706-3940
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1210 ALBERTSON PKWY
Second Line :
City : BROUSSARD
State : LA
Zip : 70518-4347
Country : US
Telephone Number : 337-839-0530
Fax Number : 337-839-1432
Authorized Official
Title or Position : ENROLLMENT MANAGER
Name : KATHY GIANNAKOPOULOS
Credential :
Telephone Number : 208-395-3954
Provider Enumeration Date : 06/04/2006
Last Update Date : 06/18/2025

Similar Medicare Providers

1821926981 — MADELYN CLAIRE MILLER
Practice Location Address:
1210 ALBERTSON PKWY
BROUSSARD, LA
70518-4347
Practice Phone: 337-839-1717
Practice Fax:
1275461337 — GRANT JOHNSON
Practice Location Address:
1210 ALBERTSON PKWY
BROUSSARD, LA
70518-4347
Practice Phone: 337-839-1717
Practice Fax:
1346558814 — NEIL MENARD RPH.
Practice Location Address:
1210 ALBERTSON PKWY
BROUSSARD, LA
70518-4347
Practice Phone: 337-839-0530
Practice Fax:
1104181544 — DENNIS LUKE ORTEGO RPH
Practice Location Address:
1210 ALBERTSON PKWY
BROUSSARD, LA
70518-4347
Practice Phone: 337-839-0530
Practice Fax: 337-839-1432
1093407827 — TORI ANNE LAVIOLETTE PHARMD
Practice Location Address:
1210 ALBERTSON PKWY
BROUSSARD, LA
70518-4347
Practice Phone: 337-839-0530
Practice Fax:
1851222475 — STABLE WATERS LLC
Practice Location Address:
420 ALBERTSON PKWY
BROUSSARD, LA
70518-4968
Practice Phone: 504-905-4359
Practice Fax:

Directions to “ALBERTSONS LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.