Albertsons LLC
Albertsons LLC is a healthcare organization registered as Community/Retail Pharmacy in San Clemente, CA, holding Type 2 (organization) NPI 1154377521 since 2006. The authorized official on file is Kathy Giannakopoulos, Enrollment Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154377521 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Albertsons LLC |
| Other name | <Unavail> |
| Practice address | 989 AVENIDA PICO, San Clemente, CA, 92673 |
| Phone | 9493695596 |
| Fax | 9493695691 |
| Enumeration date | 2006-05-26 |
| Last updated in NPPES | 2023-08-01 |
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 | PHY51354 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071PHA477040 | Medicaid | CA | — |
| 071PHA457770 | Medicaid | CA | — |
| 2000502 | Other | — | PK |
Copy-ready billing details
Provider: Albertsons LLC NPI: 1154377521 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 989 AVENIDA PICO, San Clemente, CA, 92673
Verify this record
Cross-check NPI 1154377521 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 2026-07-10. Provider record last updated 2023-08-01.