SAFEWAY INC (NPI# 1265463079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265463079 |
| Entity Type | Organization |
| Organization Name | SAFEWAY INC |
| Other Organization Name | SAFEWAY PHARMACY #2621 |
| Practice Address |
3110 Balfour Rd Brentwood CA 94513-5500 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 9256266030 |
| Practice Fax Number | 9256266024 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-04-30 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY52276 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1265463079 | 05 | |
| PK | 2112870 | 01 |
| Other Name | Type Code |
|---|---|
| SAFEWAY PHARMACY #2621 | 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 |
| Vermont Business Registrations | SAFEWAY INC. | 229 South State Street, Dover, DE 19901 |
| Street Address |
3110 BALFOUR RD |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013573666 | Veronia Hanna | Pharmacist | 3110 Balfour Rd, Brentwood, CA 94513-5500 | 2019-05-18 |
| 1316497167 | John Freemer IIi | Pharmacist | 3110 Balfour Rd, Brentwood, CA 94513-5500 | 2016-10-05 |
| 1013253608 | Grace Lan | Pharmacist | 3110 Balfour Rd, Brentwood, CA 94513-5500 | 2012-12-31 |
| 1356642631 | Michelle Chang | Pharmacist | 3110 Balfour Rd, Brentwood, CA 94513-5500 | 2010-11-03 |
| 1700186855 | David S Hwang | Pharmacist | 3110 Balfour Rd, Brentwood, CA 94513-5500 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| 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 |
|---|---|---|---|---|
| 1043728694 | Arar Healthcare, Inc. | Pharmacy | 50 Eagle Rock Way Ste C, Brentwood, CA 94513-4941 | 2018-01-17 |
| 1508151226 | Spartan Pharmacy Inc. | Pharmacy | 3520 Clairton Blvd, Brentwood, PA 15227-2720 | 2011-06-10 |
| 1154511491 | Longs Drug Stores California, LLC | Pharmacy | 3171 Balfour Rd, Brentwood, CA 94513-2962 | 2007-08-01 |
| 1649390576 | Walgreen Co | Pharmacy | 1619 Franklin Rd, Brentwood, TN 37027-6833 | 2007-04-02 |
| 1720172067 | Harris Teeter, LLC | Pharmacy | 210 Franklin Rd., Suite #100, Brentwood, TN 37027 | 2006-10-03 |
| 1730299363 | Costco Wholesale Corporation | Pharmacy | 98 Seaboard Ln, Brentwood, TN 37027-2930 | 2006-08-30 |
| 1225045230 | Walgreen Co | Pharmacy | 101 Franklin Rd, Brentwood, TN 37027-4638 | 2006-08-02 |
| 1316952641 | Walgreen Co | Pharmacy | 4520 Balfour Rd, Brentwood, CA 94513-1529 | 2006-07-29 |
| 1710992631 | Giant Eagle Inc | Pharmacy | 600 Towne Square Way, Brentwood, PA 15227-3257 | 2006-07-29 |
| 1225679749 | Sai Gauri Pharmacy LLC | Pharmacy | 753 Commack Rd, Brentwood, NY 11717-7407 | 2019-10-06 |
| Find all providers in BRENTWOOD | ||||
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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.