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
2	3336C0003X	Community/Retail Pharmacy	6443	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1026334	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	1026334	OTHER		OTHER ID NUMBER

General Provider Information

NPI Number	:	1659318087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERTSONS LLC

Provider Business Mailing Address
First Line	:	3900 66TH ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-4912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 66TH ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-4912
Country	:	US
Telephone Number	:	727-347-1121
Fax Number	:	727-347-1151

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	11/21/2007

Similar Medicare Providers

1609114263 — DR. SCOTT ROTHENBERG
Practice Location Address:

3900 66TH ST N
SAINT PETERSBURG, FL
33709-4912

Practice Phone: 727-343-9265
Practice Fax: 727-343-9358

1578801932 — NAKIA ASLANOVICH
Practice Location Address:

3900 66TH ST N
ST PETERSBURG, FL
33709-4912

Practice Phone: 727-343-9265
Practice Fax: 727-343-9358

1801286224 — ADRIANNA KURENI
Practice Location Address:

3900 66TH ST N
ST PETERSBURG, FL
33709-4912

Practice Phone: 727-343-9265
Practice Fax:

1043891831 — ANNE JONES
Practice Location Address:

805 N GILLFIELD DR
PETERSBURG, VA
23803-4912

Practice Phone: 804-930-6795
Practice Fax:

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
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.