Active NPI
Albertsons LLC
Doing business as Osco Pharmacy
- Community/Retail Pharmacy
- Cheyenne, WY
National Provider Identifier
1205873759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5203396
- Legal business name
- ALBERTSONS LLC
- Doing business as
- Osco Pharmacy
- Practice address
- 5800 Yellowstone Rd
Cheyenne, WY 82009-4131 - Phone
- (307) 637-8361
- Fax
- (307) 637-5959
- NPI assigned
- Jun 1, 2006
- Last updated
- Nov 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorenzo Torres
- Title
- New Store Enrollments
- Phone
- (847) 916-4463
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5203396 | WY | Primary |
Addresses
Primary practice location
5800 Yellowstone Rd
Cheyenne, WY 82009-4131
Mailing address
5800 Yellowstone Rd
Cheyenne, WY 82009-4131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5203396 | Other | OTHER ID NUMBER | |
| 5203396 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- OSCO PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Albertsons 851
Organizations with this tax ID in the same state 16
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195603200000",
"number": "1205873759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 YELLOWSTONE RD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 YELLOWSTONE RD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094131",
"telephone_number": "307-637-8361",
"fax_number": "307-637-5959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERTSONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2007-11-21",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "LORENZO",
"authorized_official_title_or_position": "NEW STORE ENROLLMENTS",
"authorized_official_telephone_number": "847-916-4463"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WY",
"license": "5203396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "5203396",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5203396",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OSCO PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.