| NPI | 1043494545 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-12-20 |
| Last Updated | 2018-09-11 |
| Authorized Official | Tiffany Eliopulos ASSISTANT MANAGER, ENROLLMENTS Phone: 2083953906 |
| Mailing Address | 250 E Parkcenter Blvd, Mailstop Sec2-B Boise, ID 83706-3940 United States Phone: (847) 916-4463 | Fax: (847) 916-4736 📍 View Map |
| Primary Practice Address | 3355 E Pershing Blvd Cheyenne, WY 82001-5764 United States Phone: (307) 635-1155 | Fax: (307) 632-5657 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WY | 125401400 | — |
| Other (non-Medicare) | — | 2111698 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | WY | R10123 |
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About NPI 1043494545
Albertsons Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1043494545. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Cheyenne, WY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-12-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043494545?
NPI 1043494545 belongs to Albertsons Llc, a Pharmacy, Community/Retail Pharmacy in Cheyenne, WY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043494545 active?
The current status of NPI 1043494545 in the NPPES registry is Active. The record was last updated on 2018-09-11.
What specialty is NPI 1043494545?
NPI 1043494545 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043494545?
You can verify NPI 1043494545 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043494545?
The primary practice address on file for NPI 1043494545 is 3355 E Pershing Blvd, Cheyenne, WY 82001-5764. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043494545 issued?
NPI 1043494545 was first issued (enumerated) on 2007-12-20. The NPPES record was last updated on 2018-09-11.
Practice Location Map
Albertsons Llc is located at 3355 E Pershing Blvd, Cheyenne, WY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Albertsons Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043494545. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | R10123 | WY |