Safeway INC
Pharmacy, Community/Retail Pharmacy in North Riverside, IL. Organization (NPI-2).
NPI number1528097599
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1528097599
- Entity type
- Organization (NPI-2)
- Legal business name
- Safeway INC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | 54013013 | IL |
Other names
- Dominicks (Doing Business As)
Practice location
7401 W 25th StNorth Riverside, IL 60546-1424
Phone 708-442-7990 · Fax 708-442-3377
Mailing address
20427 N 27th Ave Msc 4501Phoenix, AZ 85027-3241
Authorized official
Patrick Harris
Managed Care Analyst
6238693778
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.
Other Community/Retail Pharmacy providers in North Riverside, IL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.