Albertsons LLC
Organization Active NPI Community/Retail Pharmacy · Port Orange, FL
NPI 1629015151 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1629015151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ALBERTSONS LLC
- Practice address
- 3803 S Nova Rd
Port Orange, FL 32129-4201 - Phone
- (386) 788-4895
- Fax
- (386) 788-4848
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Lorenzo Torres
- Title
- New Store Enrollments
- Phone
- (847) 916-4463
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Albertsons 851
Locations
3803 S Nova Rd
Port Orange, FL 32129
Phone (386) 788-4895
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 8242 | FL | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
3803 S Nova Rd
Port Orange, FL 32129-4201
Mailing address
3803 S Nova Rd
Port Orange, FL 32129-4201
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1046261 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- SUPER SAVER SAVON PHARMACY
Other providers in Port Orange, FL
- Marlenne Dalila Aguilar
- Sierra Aiken
- Brittany Akin
- Esitime Akpanuko
- Hashem Al Khatib
- Marcella Albritton
- Albrook Medical, Inc.
- Elizabeth Aleo
- Chelsea Alexander
- Alfonso Cruz DMD PA
All providers in Port Orange, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.