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	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336C0003X	Community/Retail Pharmacy	22292	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2098218	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184661647
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	:	6800 VIRGINIA PKWY
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071
Country	:	US
Telephone Number	:	972-542-0010
Fax Number	:	972-542-8018

Authorized Official
Title or Position	:	ENROLLMENT MANAGER
Name	:	KATHY GIANNAKOPOULOS
Credential	:
Telephone Number	:	208-395-3954

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	04/03/2020

Similar Medicare Providers

1396680914 — JOANN GAYLE DAVIS MS, LPC, NCC
Practice Location Address:

1880 N STONEBRIDGE DR STE 230
MCKINNEY, TX
75071-7562

Practice Phone: 469-343-0640
Practice Fax:

1396517017 — RISE SENIOR HEALTH LLC
Practice Location Address:

2604 CLEAR BROOK DR
MCKINNEY, TX
75071-2711

Practice Phone: 318-243-1089
Practice Fax:

1932989993 — RELIANCE MEDICAL, INC
Practice Location Address:

1918 UNIVERSITY BUSINESS DR STE 503
MCKINNEY, TX
75071-5805

Practice Phone: 325-692-7443
Practice Fax:

1720921992 — GREENHOUSE COUNSELING AND WELLNESS
Practice Location Address:

9316 VERNON CT
MCKINNEY, TX
75071-6057

Practice Phone: 469-430-8338
Practice Fax:

1639678980 — CATHERINE BOLOTTE
Practice Location Address:

1400 N COIT RD STE 706
MCKINNEY, TX
75071-6658

Practice Phone: 940-220-9307
Practice Fax:

1750624367 — JENNIFER N FREEMAN LVN
Practice Location Address:

1800 BLERIOT CT
MCKINNEY, TX
75071-0404

Practice Phone: 330-604-6590
Practice Fax:

1457968810 — TORRIE D REDWINE LPC
Practice Location Address:

1880 N STONEBRIDGE DR
MCKINNEY, TX
75071-7438

Practice Phone: 770-899-6017
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.