Safeway Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

201002358 Issued in VA

Legal business name

SAFEWAY INC

Doing business as

Safeway Pharmacy #0421

Practice address

6118 Arlington Blvd
Falls Church, VA 22044-2901

Phone

(703) 241-4126

Fax

(703) 536-4651

NPI assigned

Jun 21, 2006

Last updated

Nov 10, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle A Rivers, CPHT

Title

Managed Care Plan Specialist

Phone

(623) 869-3524

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SAFEWAY PHARMACY #0421 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Genuardi's Family Markets LP GFM

  dba Genuardi's Pharmacy #3012

  • Community/Retail Pharmacy
  • Flourtown, PA
  • NPI 1629007687

  Member Of

  NPD member
• Randalls Food & Drugs LP

  dba Tom Thumb Pharmacy #2581

  • Community/Retail Pharmacy
  • Frisco, TX
  • NPI 1366488983

  Member Of

  NPD member
• Vons Companies Inc

  dba Vons Pharmacy #2209

  • Community/Retail Pharmacy
  • Lakewood, CA
  • NPI 1336178383

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1043256662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20427 N 27TH AVE # MSC4551",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 ARLINGTON BLVD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442901",
            "telephone_number": "703-241-4126",
            "fax_number": "703-536-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGED CARE PLAN SPECIALIST",
        "authorized_official_telephone_number": "623-869-3524",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "201002358",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4820280",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8515751",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFEWAY PHARMACY #0421",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariam Sabonji, PHARMD
• Deborah Sackey, DNP, FNP-BC
• Farideh Sadeghi, MD
• Tammy Juliet Saenz, LCSW
• Safe Medical Transportation LLC
• Sally Golden Safferson, WHNP-BC
• Safi Care Trans Inc
• Safi Health Group LLC
• Safi Home Healthcare LLC
• Ahmad Safra, MD

• Durable Medical Equipment & Medical Supplies in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.