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
1	333600000X	Pharmacy	14850	TX
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4584959	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1326085887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERTSONS LLC

Provider Business Mailing Address
First Line	:	9779 FOREST LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-5701
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9779 FOREST LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-5701
Country	:	US
Telephone Number	:	972-234-1273
Fax Number	:	972-669-9073

Authorized Official
Title or Position	:	NEW STORE ENROLLMENTS
Name	:	LORENZO TORRES
Credential	:
Telephone Number	:	847-916-4463

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1629034137 — DR. TOM GERALD MAYER M.D.
Practice Location Address:

5701 MAPLE AVE , STE. 100
DALLAS, TX
75235-6519

Practice Phone: 214-351-6600
Practice Fax: 214-351-5046

1942227079 — SAMS EAST INC
Practice Location Address:

4062 LBJ FWY
DALLAS, TX
75244-5701

Practice Phone: 972-759-6492
Practice Fax:

1871607671 — PRODUCTIVE REHABILITATION INSTITUTE OF DALLAS FOR ERGONOMICS
Practice Location Address:

5701 MAPLE AVE STE 100
DALLAS, TX
75235-6596

Practice Phone: 214-351-6600
Practice Fax: 214-351-5046

1306950134 — DR. JEFF DERSH PH.D.
Practice Location Address:

5701 MAPLE AVE STE 100
DALLAS, TX
75235-6596

Practice Phone: 214-351-6600
Practice Fax: 214-351-5046

1942314786 — MS. MARGARETA M MAYER FNP
Practice Location Address:

5701 MAPLE AVE STE 100
DALLAS, TX
75235-6596

Practice Phone: 214-351-6600
Practice Fax: 214-351-5046

1407989411 — MRS. YOHELI PEREZ PT
Practice Location Address:

5701 MAPLE AVE , STE. 100
DALLAS, TX
75235-6519

Practice Phone: 214-351-6600
Practice Fax: 214-351-6453

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 © 2007-2025 (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.