Safeway INC
Pharmacy, Community/Retail Pharmacy in Phoenix, AZ. Organization (NPI-2).
NPI number1013948827
StatusActive
Last updated in NPPESApr 1, 2020
Details
- NPI
- 1013948827
- Entity type
- Organization (NPI-2)
- Legal business name
- Safeway INC
- Organization subpart
- No
- Enumeration date
- Jul 6, 2006
- Certification date
- Apr 1, 2020
- Last updated
- Apr 1, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | Y006214 | AZ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Safeway Pharmacy #1201 (Doing Business As)
Practice location
4005 E Chandler BlvdPhoenix, AZ 85048-8888
Phone 480-759-4479 · Fax 480-759-8644
Mailing address
250 E Parkcenter BlvdBoise, ID 83706-3940
Authorized official
Kathy Giannakopoulos
Enrollments Manager
2083953954
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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