Albertsons LLC
Albertsons LLC is a healthcare organization registered as Community/Retail Pharmacy in Simi Valley, CA, holding Type 2 (organization) NPI 1124066378 since 2006. The authorized official on file is Kathy Giannakopoulos, Enrollment Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124066378 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Albertsons LLC |
| Other name | <Unavail> |
| Practice address | 1268 MADERA RD, Simi Valley, CA, 93065 |
| Phone | 8055201384 |
| Fax | 8055209034 |
| Enumeration date | 2006-06-02 |
| Last updated in NPPES | 2020-04-03 |
Authorized official
| Name | Kathy Giannakopoulos |
|---|---|
| Title | Enrollment Manager |
| Phone | 2083953954 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY51308 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071PHA477390 | Medicaid | CA | — |
| 071PHA446970 | Medicaid | CA | — |
| 2115924 | Other | — | PK |
Copy-ready billing details
Provider: Albertsons LLC NPI: 1124066378 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1268 MADERA RD, Simi Valley, CA, 93065
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1881076008 | Krishna Iyer | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Simi Valley, CA |
| 1528508298 | Yana Gritsaenko | Individual | Pharmacist | Simi Valley, CA |
| 1497534010 | Nguyen Nguyen | Individual | Pharmacist | Simi Valley, CA |
Verify this record
Cross-check NPI 1124066378 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
What is the NPI number for Albertsons LLC?
Who is the authorized official for Albertsons LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-04-03.