Albertsons LLC
Albertsons LLC is a healthcare organization registered as Community/Retail Pharmacy in Las Vegas, NV, holding Type 2 (organization) NPI 1205036134 since 2007. The authorized official on file is Kathy Giannakopoulos, Enrollment Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205036134 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Albertsons LLC |
| Other name | <Unavail> |
| Practice address | 11720 W CHARLESTON BLVD, Las Vegas, NV, 89135 |
| Phone | 7023633306 |
| Fax | 7023633619 |
| Enumeration date | 2007-07-19 |
| 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 | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PH02289 | NV |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2052245 | Other | — | PK |
| 100512930 | Medicaid | NV | — |
Copy-ready billing details
Provider: Albertsons LLC NPI: 1205036134 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 11720 W CHARLESTON BLVD, Las Vegas, NV, 89135
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457831430 | Kandis Harris | Individual | Pharmacist | Las Vegas, NV |
| 1295292142 | Chester Dudzik | Individual | Pharmacist | Las Vegas, NV |
| 1861120529 | Erica Chen | Individual | Pharmacist | Las Vegas, NV |
| 1265360861 | Shenika Woodward | Individual | Pharmacist | Las Vegas, NV |
Verify this record
Cross-check NPI 1205036134 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
Where is Albertsons LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-04-03.