For 2010, he was to drive full-time for Phoenix Racing's No. 09 Cup series Chevrolet Impala. He also drove the No. 51 Graceway Pharmaceuticals/AK Awareness-sponsored Toyota Tundra for Billy Ballew in the Camping World Truck Series. In April, Almirola parted ways with Phoenix Racing to focus on his Truck Series ride. Almirola attempted the Aarons 499 at Talladega in No. 35 Tommy Baldwin Racing/Mohawk-sponsored Chevrolet but failed to qualify after qualifying was rained out by NASCAR. Almirola won his first race in the Camping World Truck Series at Dover International Speedway and won again at Michigan International Speedway, holding off Todd Bodine and Kyle Busch. Almirola would finish second in points to Bodine.