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SAFEWAY INC NPI 1235175001


NPI Information

NPI: 1235175001
Provider Name: SAFEWAY INC

Doing Business As: SAFEWAY PHARMACY #1642

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 38D2081031

Address:
201 SW 20TH ST
PENDLETON, OR
ZIP 97801
Phone: (541) 278-4285
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SAFEWAY INC is a community/retail pharmacy pharmacy in Pendleton, OR. 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 1235175001. The provider is registered as an organization entity type.
The provider Is Doing Business As Safeway Pharmacy #1642.

The provider's business location address is:

201 SW 20TH ST
PENDLETON, OR
ZIP 97801-864
Phone: (541) 278-4285
Fax: (541) 278-4288

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 38D2081031 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 4/27/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy0000977OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12077923OTHERPK
2146894MEDICAIDOREGON
3297182MEDICAIDOREGON

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: 5/5/2024

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