Albertsons LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.004559-RC Issued in LA

Legal business name

ALBERTSONS LLC

Practice address

15128 Airline Hwy
Baton Rouge, LA 70817-7307

Phone

(225) 751-4415

Fax

(225) 751-0429

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Kathy Giannakopoulos

Title

Enrollment Manager

Phone

(208) 395-3954

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Albertsons Pharmacy #3747 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, LA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Safeway Inc

  • Community/Retail Pharmacy
  • Sunnyside, WA
  • NPI 1861421885

  Member Of

  NPD member
• Star Markets Company Inc

  • Community/Retail Pharmacy
  • Marshfield, MA
  • NPI 1548216070

  Member Of

  NPD member
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Albuquerque, NM
  • NPI 1134166655

  Member Of

  NPD member

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Caulk

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1306459870
  NPD (past)
• Rachel F. Gamble, PD

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1821180589
  NPD (past)
• Gage Emilio Gonzalez, RPH

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1982433025
  NPD (past)
• Gene Patrick Hebert Jr., RPH

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1205145133
  NPD (past)
• Dylan Leblanc, RPH

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1851044499
  NPD (past)
• Ashley Toups

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1497475313
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1891735262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15128 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708177307",
            "telephone_number": "225-751-4415",
            "fax_number": "225-751-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTSONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "GIANNAKOPOULOS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "208-395-3954"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.004559-RC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1268356",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2034895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albertsons Pharmacy #3747",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shequitta Albert
• Tiarra Monique Albert, LMSW
• Albertsons LLC
• Albertsons LLC
• Albertsons LLC
• Albertsons LLC
• Albertsons LLC
• Alexandra Elizabeth Albin
• Jessica Matise Albores, FNP-C
• Rixie Lowry Albright, LCSW

• All providers in Baton Rouge, LA
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.