SAFEWAY INC (NPI# 1225057250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225057250 |
| Entity Type | Organization |
| Organization Name | SAFEWAY INC |
| Other Organization Name | SAFEWAY PHARMACY #2255 |
| Practice Address |
Hwy 95 and Armory Hawthorne NV 89415 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 7759453045 |
| Practice Fax Number | 7759451829 |
| Mailing Telephone | 2083953963 |
| Mailing Fax Number | 6233366896 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER) |
| Authorized Official Telephone | 2083953954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00688 | NV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2056548 | 01 | |
| NV | 1225057250 | 05 |
| Other Name | Type Code |
|---|---|
| SAFEWAY PHARMACY #2255 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033729322 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 2685 Mill Rd, Kodiak, AK 99615-6638 | 2020-08-03 |
| 1396355681 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 664 W Palmer Wasilla Hwy, Palmer, AK 99645-6535 | 2020-08-03 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1063042083 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3383 Bass Lake Rd, El Dorado Hills, CA 95762 | 2020-01-17 |
| 1134768286 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4080 San Pablo Ave, Hercules, CA 94547 | 2020-01-06 |
| 1922654953 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 94-809 Lumiaina St, Waipahu, HI 96797-5025 | 2019-08-15 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1659926236 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 708 Shaw Rd, Puyallup, WA 98372-5276 | 2019-08-09 |
| 1467928200 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3680 Crocker Dr, Ste 100, Sacramento, CA 95818 | 2018-10-19 |
| 1831665678 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 717 State Route 9 Ne, Lake Stevens, WA 98258-7992 | 2018-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SAFEWAY INC. | 11555 Dublin Canyon Rd, Pleasanton, CA 94588 |
| New York State Corporations | SAFEWAY INC. | 28 Liberty St., New York, New York 10005 |
| North Carolina Corporations | Safeway Inc. | 2 South Salisbury Street, Raleigh, NC 27601 |
| Oregon Corporations, Companies and Business Names | SAFEWAY INC. | 11555 Dublin Canyon Rd, Pleasanton, CA 94588 |
| Virginia Business Entities | SAFEWAY INC. | 11555 Dublin Canyon Rd, Pleasanton, California 94588 |
| Massachusetts Corporations | SAFEWAY INC. | 5918 Stoneridge Mall Rd., Pleasanton, CA 94588 |
| Washington State Corporations | SAFEWAY INC. | 11555 Dublin Canyon Rd, Pleasanton, CA 94588-2815 |
| Indiana Business Entities | SAFEWAY INC. | 55 Monument Cir, Ste 1424, Indpls, IN 46204 |
| Oklahoma Business Registrations | SAFEWAY INC. | George R Robert, 201 4th Street, Oakland, CA 94660 |
| Connecticut Business Registrations | SAFEWAY INC. (DELAWARE) | 201 Fourth Street, Oakland, CA 94660 |
| Street Address |
HWY 95 AND ARMORY |
| City | HAWTHORNE |
| State | NV |
| Zip Code | 89415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324846 | Angela Lebleu | Behavior Technician | 203 C St, Hawthorne, NV 89415 | 2020-01-06 |
| 1710497920 | Claire Brillantes Espanol | Pharmacist | 1095 Hwy 95, Hawthorne, NV 89415 | 2017-10-03 |
| 1144692252 | Lakshmi Sriharsha Bingi | Pharmacist | Us-95, Safeway, Hawthorne, NV 89415 | 2015-10-28 |
| 1275965741 | Holly Heath Qualls | Speech-Language Pathologist | 317 D Street, Hawthorne, NV 89415 | 2013-08-06 |
| 1033455407 | Wanda Nixon | Registered Nurse | 331 First Street, Hawthorne, NV 89415 | 2012-12-12 |
| 1851523971 | Nevada State Health Division | Public Health or Welfare | 331 1st Street, Hawthorne, NV 89415 | 2009-08-24 |
| 1124258181 | Jeanne Hall | Dietitian, Registered | 399 Connelly, Hawthorne, NV 89415 | 2009-07-23 |
| 1851423164 | Carson Urologists Ltd | Urology | 200 S A St, Hawthorne, NV 89415 | 2007-03-12 |
| 1902854516 | County of Mineral | Ambulance | 418 Mineral Way, Hawthorne, NV 89415 | 2006-05-05 |
| 1750926895 | Sheryl Lynn Trela | Homemaker | 200 South A Street, Hawthorne, NV 89415 | 2019-11-13 |
| Find all providers in zip 89415 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730562695 | Cvs | Pharmacy | 4755 W. Rosecrans Ave, Hawthorne, CA 90505-5525 | 2015-07-09 |
| 1164670519 | Garfield Beach Cvs LLC | Pharmacy | 2700 W 120th St, Hawthorne, CA 90250-3388 | 2008-08-28 |
| 1952586323 | Walgreen Co | Pharmacy | 11983 Hawthorne Blvd, Hawthorne, CA 90250-3015 | 2008-01-04 |
| 1164558797 | Jose R Sardinas | Pharmacy | 11930 Hawthorne Blvd, Hawthorne, CA 90250-3016 | 2007-02-26 |
| 1245339449 | Tonaire Corporation | Pharmacy | 576 Lafayette Avenue, Hawthorne, NJ 07506-2423 | 2006-09-22 |
| 1649378134 | Garfield Beach Cvs LLC | Pharmacy | 4775 W Rosecrans Ave, Hawthorne, CA 90250-6842 | 2006-09-20 |
| 1194829051 | Holiday Cvs LLC | Pharmacy | 6025 Se Us Highway 301, Hawthorne, FL 32640-7316 | 2006-09-12 |
| 1487764098 | Costco Wholesale Corporation | Pharmacy | 14501 Hindry Ave, Hawthorne, CA 90250 | 2006-08-30 |
| 1235144247 | Walgreen Co | Pharmacy | 14250 Prairie Ave, Hawthorne, CA 90250-7908 | 2006-07-29 |
| 1306889787 | Garfield Beach Cvs LLC | Pharmacy | 3880 W Rosecrans Ave, Hawthorne, CA 90250-8018 | 2006-06-14 |
| Find all providers in HAWTHORNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.