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SAFEWAY INC NPI 1649509415


NPI Information

NPI: 1649509415
Provider Name: SAFEWAY INC

Doing Business As: SAFEWAY PHARMACY #2761

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 53D2074993

Address:
1165 MAIN ST
LANDER, WY
ZIP 82520
Phone: (307) 332-3939
Get Directions

SAFEWAY INC is a community/retail pharmacy pharmacy in Lander, WY. 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 1649509415. The provider is registered as an organization entity type.
The provider Is Doing Business As Safeway Pharmacy #2761.

The provider's business location address is:

1165 MAIN ST
LANDER, WY
ZIP 82520-665
Phone: (307) 332-3939
Fax: (307) 332-3733

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 53D2074993 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2009 and was last updated on 4/21/2020.


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
23336C0003XPharmacyCommunity/Retail PharmacyR10132WYOMINGYes

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
12123740OTHERPK
2129218800MEDICAIDWYOMING

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: 4/28/2024

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