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	19862	TX
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4512059	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1477590933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERTSONS LLC

Provider Business Mailing Address
First Line	:	13435 N US HIGHWAY 183
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-3257
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13435 N US HIGHWAY 183
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-3257
Country	:	US
Telephone Number	:	512-250-9495
Fax Number	:	512-250-1963

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	12/10/2009

Similar Medicare Providers

1356622526 — MS. ANNA M. CAZARES L.AC.
Practice Location Address:

1000 E 7TH ST STE 203
AUSTIN, TX
78702-3257

Practice Phone: 512-228-9158
Practice Fax:

1700586922 — JULIA FINA
Practice Location Address:

6401 RANCH ROAD 2222
AUSTIN, TX
78730-3257

Practice Phone: 512-961-7789
Practice Fax:

1114851995 — HELIXPRIME DIAGNOSTICS LLC
Practice Location Address:

12325 HYMEADOW DR BLDG 3
AUSTIN, TX
78750-1879

Practice Phone: 719-679-7517
Practice Fax:

1043144702 — NOVA STRAND DIAGNOSTICS
Practice Location Address:

12325 HYMEADOW DR BLDG 3
AUSTIN, TX
78750-1879

Practice Phone: 469-412-5284
Practice Fax:

1245537406 — AMBER PRESSON ROGERS MD
Practice Location Address:

10401 ANDERSON MILL RD STE 110B
AUSTIN, TX
78750-2579

Practice Phone: 512-250-5571
Practice Fax: 512-406-7300

1205830106 — TONI FUNICELLA M.D.
Practice Location Address:

13740 RESEARCH BLVD , STE P4
AUSTIN, TX
78750-1835

Practice Phone: 512-250-5521
Practice Fax: 512-250-2291

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.