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Albertsons LLC

Albertsons LLC is a healthcare organization registered as Community/Retail Pharmacy in Melbourne, FL, holding Type 2 (organization) NPI 1891733044 since 2006. The authorized official on file is Dan Johnson, Manager Managed Healthcare.

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NPI 1891733044
Entity type Organization (Type 2)
Legal business name Albertsons LLC
Other name <Unavail>
Practice address 2447 100 WICKHAM RD, Melbourne, FL, 32935
Phone 3212421955
Fax 3217576306
Enumeration date 2006-06-02
Last updated in NPPES 2009-11-30

Authorized official

Name Dan Johnson
Title Manager Managed Healthcare
Phone 2083953436

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary PH0014084 FL

Other identifiers

Identifier Type State Issuer
031510900 Medicaid FL
1078179 Other NCPDP PROVIDER IDENTIFICATION NUMBER
Copy-ready billing details
Provider: Albertsons LLC
NPI: 1891733044
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 2447 100 WICKHAM RD, Melbourne, FL, 32935

Verify this record

Cross-check NPI 1891733044 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?
The practice location on file with NPPES is in Melbourne, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-11-30. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2009-11-30.