Albertsons LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY.001625-RC Issued in LA

Legal business name

ALBERTSONS LLC

Doing business as

Albertsons Pharmacy #1311

Practice address

7515 Perkins Rd
Baton Rouge, LA 70808-4330

Phone

(225) 769-6084

Fax

(225) 767-7300

NPI assigned

Jun 1, 2006

Last updated

Jun 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy Green

Title

Enrollment Manager

Phone

(208) 395-3932

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Albertsons Pharmacy #1311 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

  dba Safeway Pharmacy #3525

  • Community/Retail Pharmacy
  • Chehalis, WA
  • NPI 1285663203

  Member Of

  NPD member
• Star Markets Company Inc

  dba Star Market Pharmacy #3696

  • Community/Retail Pharmacy
  • Boston, MA
  • NPI 1386106953

  Member Of

  NPD member
• United Supermarkets LLC

  dba Albertsons Market Pharmacy #0904

  • Community/Retail Pharmacy
  • Albuquerque, NM
  • NPI 1124067509

  Member Of

  NPD member

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte Barrow Bertrand, PHARMD

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1568771582
  NPD (past)
• Candace Arnouville Breaux, PHARMD

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1154613651
  NPD (past)
• Danny Dang, PHARMD

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1891666814
  NPD (past)
• Denton Doiron, PHARM.D

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1770005704
  NPD (past)
• Courtney C Edwards, PHARMD

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1184051070
  NPD (past)
• Kenneth W. Howie, R.PH.

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1003163585
  NPD (past)
• Claudette Nunnery

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1609184175
  NPD (past)
• Alexsander Tewelde Peacock, PHARM.D.

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1851784946
  NPD (past)
• Michael Strickland

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1548679251
  NPD (past)
• Julie H Taylor, PHARMD

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1962840272
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1962449413",
    "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": "7515 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084330",
            "telephone_number": "225-769-6084",
            "fax_number": "225-767-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTSONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "208-395-3932"
    },
    "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.001625-RC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030998",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1253308",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albertsons Pharmacy #1311",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiarra Monique Albert, LMSW
• Albertsons LLC (Albertsons Pharmacy #3792)
• Albertsons LLC (Albertsons Pharmacy #0712)
• Albertsons LLC (Albertsons Pharmacy #3750)
• Albertsons LLC (Albertsons Pharmacy #3747)
• Albertsons LLC (Albertsons Pharmacy #3713)
• Alexandra Elizabeth Albin
• Jessica Matise Albores, FNP-C
• Rixie Lowry Albright, LCSW
• Marcus Al Alcee, ADMIMISTRATOR

• Community/Retail Pharmacy in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• 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.