Organization Active NPI

Albertsons LLC

Doing business as Osco Pharmacy

  • Community/Retail Pharmacy
  • Casper, WY
National Provider Identifier
1386682706
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5202863 Issued in WY
Legal business name
ALBERTSONS LLC
Doing business as
Osco Pharmacy
Practice address
2625 E 2ND St
Casper, WY 82609-2045
Phone
(307) 234-7159
Fax
(307) 472-0471
NPI assigned
Jun 4, 2006
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
ALBERTSONS HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Lorenzo Torres II
Title
New Store Enrollments
Phone
(847) 916-4463

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 5202863 WY Primary

Addresses

Primary practice location

2625 E 2ND St
Casper, WY 82609-2045

Mailing address

2625 E 2ND St
Casper, WY 82609-2045

Other identifiers 1

IdentifierTypeStateIssuer
5202887OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • OSCO PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Albertsons Inc 4103388 organizations share this tax ID, including this one

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.

View all 16

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": "1196121600000",
    "number": "1386682706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092045",
            "telephone_number": "307-234-7159",
            "fax_number": "307-472-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTSONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBERTSONS HOLDINGS LLC",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-11-27",
        "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",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": "5202863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5202887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSCO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.