OrganizationActive
Albertsons LLC
NPI 1629015151 · Community/Retail Pharmacy · Port Orange, FL
Provider details
- NPI number
- 1629015151
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lorenzo Torres, New Store Enrollments(847) 916-4463
- License
- 8242 (FL)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
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
3803 S Nova Rd
Port Orange, FL 32129-4201
Phone: (386) 788-4895
Fax: (386) 788-4848
Street-level locationGet directions
Mailing address
3803 S Nova Rd
Port Orange, FL 32129-4201
Other names (DBA / former)
- Doing business as
- Super Saver Savon Pharmacy
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.