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SAFEWAY INC NPI 1417986456


NPI Information

NPI: 1417986456
Provider Name: SAFEWAY INC

Doing Business As: SAFEWAY PHARMACY #0982

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2057732

Address:
2505 SAN RAMON VALLEY BLVD
SAN RAMON, CA
ZIP 94583
Phone: (925) 831-9502
Get Directions

SAFEWAY INC is a community/retail pharmacy pharmacy in San Ramon, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SAFEWAY INC NPI is 1417986456. The provider is registered as an organization entity type.
The provider Is Doing Business As Safeway Pharmacy #0982.

The provider's business location address is:

2505 SAN RAMON VALLEY BLVD
SAN RAMON, CA
ZIP 94583-603
Phone: (925) 831-9502
Fax: (925) 831-2547

The provider's authorized official is Kathy Giannakopoulos .
The authorized official title is Enrollments Manager and has the following contact phone number (208) 395-3954.

The CLIA number assigned to this NPI record is 05D2057732 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 4/1/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHY52084CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11417986456MEDICAIDCALIFORNIA
22004669OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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