Albertsons LLC
Albertsons LLC is a healthcare organization registered as Community/Retail Pharmacy in Tyler, TX, holding Type 2 (organization) NPI 1063459527 since 2006. The authorized official on file is Dan Johnson, Manager Managed Healthcare.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063459527 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Albertsons LLC |
| Other name | <Unavail> |
| Practice address | 1900 E SE LOOP 323, Tyler, TX, 75701 |
| Phone | 9035978081 |
| Fax | 9035976296 |
| Enumeration date | 2006-06-01 |
| Last updated in NPPES | 2010-12-03 |
Authorized official
| Name | Dan Johnson |
|---|---|
| Title | Manager Managed Healthcare |
| Phone | 2083953436 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 13081 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4578095 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 462975 | Medicaid | TX | — |
Copy-ready billing details
Provider: Albertsons LLC NPI: 1063459527 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1900 E SE LOOP 323, Tyler, TX, 75701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386088078 | Wal-Mart Stores Texas LLC | Organization | Community/Retail Pharmacy | Tyler, TX |
| 1902530801 | Brittney Ward | Individual | Pharmacist | Tyler, TX |
Verify this record
Cross-check NPI 1063459527 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 2010-12-03.