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	16783	TX
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4596269	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1942247499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERTSONS LLC

Provider Business Mailing Address
First Line	:	9509 CLARK RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-1400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9509 CLARK RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-1400
Country	:	US
Telephone Number	:	972-296-0263
Fax Number	:	972-296-5778

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

1477080463 — LADY L OVERSHOWN
Practice Location Address:

7430 ELDERBERRY LN
DALLAS, TX
75249-1044

Practice Phone: 214-505-7398
Practice Fax:

1548325764 — ROSILAND A WILLIAMS
Practice Location Address:

8328 HIGH BRUSH DR
DALLAS, TX
75249-3003

Practice Phone: 214-336-6078
Practice Fax: 214-579-9189

1245365600 — APRIL A PARKER LPC
Practice Location Address:

7940 GLENWAY DR
DALLAS, TX
75249-2018

Practice Phone: 214-727-4159
Practice Fax:

1558486738 — KAREN KNIGHT BUTLER MS, CCC-SLP
Practice Location Address:

9240 COUNTY VIEW RD
DALLAS, TX
75249-1124

Practice Phone: 972-708-2060
Practice Fax:

1447377676 — DONNA MARIE FISCHER CTRS
Practice Location Address:

5822 CLIFF RIDGE DR
DALLAS, TX
75249-1629

Practice Phone: 972-298-6208
Practice Fax:

1194846816 — MRS. CHANDRA N HAYES RN
Practice Location Address:

8323 DEEP GREEN DR
DALLAS, TX
75249-3801

Practice Phone: 469-533-2895
Practice Fax: 214-741-3655

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.