Albertsons LLC
Albertsons LLC is a healthcare organization registered as Community/Retail Pharmacy in Cheyenne, WY, holding Type 2 (organization) NPI 1043494545 since 2007. The authorized official on file is Tiffany Eliopulos, Assistant Manager, Enrollments.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043494545 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Albertsons LLC |
| Other name | <Unavail> |
| Practice address | 3355 E PERSHING BLVD, Cheyenne, WY, 82001 |
| Phone | 3076351155 |
| Fax | 3076325657 |
| Enumeration date | 2007-12-20 |
| Last updated in NPPES | 2018-09-11 |
Authorized official
| Name | Tiffany Eliopulos |
|---|---|
| Title | Assistant Manager, Enrollments |
| Phone | 2083953906 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | R10123 | WY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125401400 | Medicaid | WY | — |
| 2111698 | Other | — | PK |
Copy-ready billing details
Provider: Albertsons LLC NPI: 1043494545 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 3355 E PERSHING BLVD, Cheyenne, WY, 82001
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104864537 | Albertsons LLC | Organization | Community/Retail Pharmacy | Cheyenne, WY |
| 1801120969 | David Lariccia | Individual | Pharmacist | Cheyenne, WY |
| 1447567029 | Marta Hartman | Individual | Pharmacist | Cheyenne, WY |
| 1528318193 | Calvin Culver | Individual | Pharmacist | Cheyenne, WY |
| 1447730437 | Danielle Weiss | Individual | Pharmacist | Cheyenne, WY |
| 1649927047 | David Deertz | Individual | Pharmacist | Cheyenne, WY |
| 1093443947 | Kristina Kostelecky | Individual | Pharmacist | Cheyenne, WY |
| 1740068667 | Dina Mustafa | Individual | Pharmacist | Cheyenne, WY |
Verify this record
Cross-check NPI 1043494545 against the authoritative CMS record: view Albertsons LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Albertsons LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-09-11.