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Albertsons LLC

Community/Retail Pharmacy in Melbourne, FL · enumerated 2006 · authorized official Dan Johnson, Manager Managed Healthcare.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891733044

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Albertsons LLC
Other name <Unavail>
Practice address 2447 100 Wickham Rd, Melbourne, FL, 32935
Fax (321) 757-6306
Enumeration date Jun 2, 2006
Last updated in NPPES Nov 30, 2009

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PH0014084 (FL) Primary

Authorized official

Name Dan Johnson
Title Manager Managed Healthcare

Other identifiers

Identifier Type State Issuer
031510900 Medicaid FL -
1078179 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

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.

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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 2026-07-13. Provider record last updated 2009-11-30.