Albertsons LLC
Albertsons LLC is a healthcare organization registered as Community/Retail Pharmacy in Mesa, AZ, holding Type 2 (organization) NPI 1205875689 since 2006. The authorized official on file is Kathy Giannakopoulos, Enrollment Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205875689 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Albertsons LLC |
| Other name | <Unavail> |
| Practice address | 1951 W BASELINE RD, Mesa, AZ, 85202 |
| Phone | 4804564850 |
| Fax | 4804564890 |
| Enumeration date | 2006-06-04 |
| 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 | Y04580 | AZ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099831 | Medicaid | AZ | — |
| 1990009 | Other | — | PK |
Copy-ready billing details
Provider: Albertsons LLC NPI: 1205875689 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1951 W BASELINE RD, Mesa, AZ, 85202
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790086015 | Russ Conner | Individual | Pharmacist | Mesa, AZ |
| 1487903373 | Jodi Mealer | Individual | Pharmacist | Mesa, AZ |
| 1346098076 | 1918 Winter Street Operating Co LLC | Organization | Community/Retail Pharmacy | Mesa, AZ |
| 1104636372 | Vanessa Elachkar | Individual | Pharmacist | Mesa, AZ |
Verify this record
Cross-check NPI 1205875689 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 2020-04-03.