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Albertsons LLC

Community/Retail Pharmacy in Wildomar, CA · enumerated 2006 · authorized official Kathy Giannakopoulos, Enrollment Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053367425

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Albertsons LLC
Other name <Unavail>
Practice address 23893 Clinton Keith Rd, Wildomar, CA, 92595
Phone (951) 600-4620
Fax (951) 600-4639
Enumeration date May 26, 2006
Last updated in NPPES Apr 3, 2020

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHY51363 (CA) Primary

Authorized official

Name Kathy Giannakopoulos
Title Enrollment Manager
Phone (208) 395-3954

Other identifiers

Identifier Type State Issuer
2005215 Other - PK
071PHA459960 Medicaid CA -
071PHA476950 Medicaid CA -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-04-03. Verify at npiregistry.cms.hhs.gov.
Where is Albertsons LLC located?
The practice location on file with NPPES is in Wildomar, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-03.