Active NPI
Albertsons LLC
Doing business as Osco Pharmacy
- Community/Retail Pharmacy
- Cody, WY
National Provider Identifier
1295773620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5203219
- Legal business name
- ALBERTSONS LLC
- Doing business as
- Osco Pharmacy
- Practice address
- 1825 17TH St
Cody, WY 82414 - Phone
- (307) 527-7426
- Fax
- (307) 527-7435
- NPI assigned
- Jun 4, 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 | 5203219 | WY | Primary |
Addresses
Primary practice location
1825 17TH St
Cody, WY 82414
Mailing address
1825 17TH St
Cody, WY 82414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5203219 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 5203219 | Other | OTHER ID NUMBER |
Other names 1
- OSCO PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Albertsons Inc 4103
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.
Locations
1825 17th St
Cody, WY 82414
Phone (307) 527-7007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195603200000",
"number": "1295773620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 17TH ST",
"city": "CODY",
"state": "WY",
"postal_code": "82414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 17TH ST",
"city": "CODY",
"state": "WY",
"postal_code": "82414",
"telephone_number": "307-527-7426",
"fax_number": "307-527-7435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERTSONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"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": "5203219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5203219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "5203219",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OSCO PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cody, 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.