Albertsons LLC
NPI 1154377521 · Community/Retail Pharmacy · San Clemente, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Albertsons LLC is a Community/Retail Pharmacy organization in San Clemente, CA (NPI 1154377521).
Provider details
- NPI number
- 1154377521
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kathy Giannakopoulos, Enrollment Manager(208) 395-3954
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pavilions Pharmacy #4563
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Frequently asked questions
- What is Albertsons LLC's NPI number?
- Albertsons LLC's National Provider Identifier (NPI) is 1154377521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Albertsons LLC?
- Albertsons LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Albertsons LLC located?
- Albertsons LLC's practice location on file with NPPES is 989 Avenida Pico, San Clemente, CA 92673-3908.
- What is Albertsons LLC's phone number?
- The practice phone number listed in the NPPES registry for Albertsons LLC is (949) 369-5596.
- Does Albertsons LLC accept Medicare?
- Albertsons LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Albertsons LLC?
- The authorized official listed on Albertsons LLC's NPPES record is Kathy Giannakopoulos, Enrollment Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Albertsons LLC's NPI active?
- Yes — Albertsons LLC's NPI (1154377521) is active in the NPPES registry as of the last update on 2023-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.