Active NPI
Albertsons LLC
Doing business as Osco Pharmacy
- Community/Retail Pharmacy
- Gillette, WY
National Provider Identifier
1932146487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5203714
- Legal business name
- ALBERTSONS LLC
- Doing business as
- Osco Pharmacy
- Practice address
- 2610 S Douglas Hwy
Gillette, WY 82718-6468 - Phone
- (307) 687-2996
- Fax
- (307) 686-6153
- NPI assigned
- Jun 1, 2006
- Last updated
- Nov 26, 2007
- Organization subpart
- Yes
- Parent organization
- ALBERTSONS HOLDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lorenzo Torres III
- Title
- New Store Enrollments
- Phone
- (847) 916-4463
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 5203714 | WY | Primary |
Addresses
Primary practice location
2610 S Douglas Hwy
Gillette, WY 82718-6468
Mailing address
2610 S Douglas Hwy
Gillette, WY 82718-6468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5203714 | Other | OTHER ID NUMBER-COMMERCIAL 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 13
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
2610 S Douglas Hwy
Gillette, WY 82718
Phone (307) 686-2569
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": "1196035200000",
"number": "1932146487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 S DOUGLAS HWY",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 S DOUGLAS HWY",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186468",
"telephone_number": "307-687-2996",
"fax_number": "307-686-6153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERTSONS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALBERTSONS HOLDINGS LLC",
"enumeration_date": "2006-06-01",
"last_updated": "2007-11-26",
"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": "III"
},
"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": "5203714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5203714",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OSCO PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.