Albertsons LLC
Albertsons LLC is a healthcare organization registered as Community/Retail Pharmacy in Spring Valley, CA, holding Type 2 (organization) NPI 1417995655 since 2006. The authorized official on file is Kathy Giannakopoulos, Enrollment Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417995655 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Albertsons LLC |
| Other name | <Unavail> |
| Practice address | 543 SWEETWATER RD, Spring Valley, CA, 91977 |
| Phone | 6194612100 |
| Fax | 6194612965 |
| 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 | PHY51375 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071PHA477230 | Medicaid | CA | — |
| 071PHA433560 | Medicaid | CA | — |
| 2002840 | Other | — | PK |
Copy-ready billing details
Provider: Albertsons LLC NPI: 1417995655 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 543 SWEETWATER RD, Spring Valley, CA, 91977
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295122158 | Brian Sears | Individual | Pharmacist | Spring Valley, CA |
| 1144600958 | Daisy Wong | Individual | Pharmacist | Spring Valley, CA |
| 1073994836 | Albertsons | Organization | Community/Retail Pharmacy | Spring Valley, CA |
| 1811370513 | Duy Phung | Individual | Pharmacist | Spring Valley, CA |
| 1487029146 | Miaoqi Jin | Individual | Pharmacist | Spring Valley, CA |
| 1447763206 | Irene Luy | Individual | Pharmacist | Spring Valley, CA |
| 1225636657 | Jade Lam | Individual | Pharmacist | Spring Valley, CA |
| 1316616907 | Nashwa Jankeel | Individual | Pharmacist | Spring Valley, CA |
Verify this record
Cross-check NPI 1417995655 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 type of organization is Albertsons LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-04-03.