Albertsons LLC
Albertsons LLC is a healthcare organization registered as Community/Retail Pharmacy in College Station, TX, holding Type 2 (organization) NPI 1225075658 since 2006. The authorized official on file is Dan Johnson, Manager Managed Healthcare.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1225075658 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Albertsons LLC |
| Other name | <Unavail> |
| Practice address | 615 UNIVERSITY DR E, College Station, TX, 77840 |
| Phone | 9792604204 |
| Fax | 9792601616 |
| Enumeration date | 2006-06-02 |
| 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 | 14822 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 464117 | Medicaid | TX | — |
| 4503430 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Albertsons LLC NPI: 1225075658 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 615 UNIVERSITY DR E, College Station, TX, 77840
Verify this record
Cross-check NPI 1225075658 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 a Type 2 NPI?
What type of organization is Albertsons LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-12-03.