{"npi":"1063468619","type":"NPI-2","status":"active","name":{"display":"Albertsons LLC","other":[],"organization_name":"ALBERTSONS LLC","authorised_official":"Kathy Giannakopoulos"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"NV","license":"PH01621"}]},"addresses":[{"purpose":"LOCATION","street_1":"10250 W CHARLESTON BLVD","city":"LAS VEGAS","state":"NV","postal_code":"891351020","country_code":"US","phone":"7028387548","fax":"7028385706"},{"purpose":"MAILING","street_1":"250 E PARKCENTER BLVD","city":"BOISE","state":"ID","postal_code":"837063940","country_code":"US"}],"license":{"state":"NV","number":"PH01621"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2802601","state":"NV","issuer":null},{"type_code":"01","label":"Other","value":"2051535","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130618000710","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NV","pac_id":"8729983515"}]},"enumeration_date":"2006-05-25","last_updated":"2020-04-03","_meta":{"source":"NPPES","snapshot_date":"2020-04-03","doc_url":"https://findmynpi.com/api"}}