| NPI | 1104864537 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-04 |
| Last Updated | 2007-11-21 |
| Authorized Official | Lorenzo Torres NEW STORE ENROLLMENTS Phone: 8479164463 |
| Mailing Address | 3355 E Pershing Blvd Cheyenne, WY 82001-5764 United States 📍 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 | 124029300 | — |
| Other (non-Medicare) | — | 5203384 | Other ID Number-Commercial Number |
| Other (non-Medicare) | — | 5203384 | Other ID Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | WY | 5203384 |
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About NPI 1104864537
Albertsons Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104864537. 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 2006-06-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104864537?
NPI 1104864537 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 1104864537 active?
The current status of NPI 1104864537 in the NPPES registry is Active. The record was last updated on 2007-11-21.
What specialty is NPI 1104864537?
NPI 1104864537 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 1104864537?
You can verify NPI 1104864537 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 1104864537?
The primary practice address on file for NPI 1104864537 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 1104864537 issued?
NPI 1104864537 was first issued (enumerated) on 2006-06-04. The NPPES record was last updated on 2007-11-21.
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 1104864537. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 5203384 | WY |