Safeway Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SAFEWAY MEDICAL LLC

Practice address

2330 Scenic Hwy S Ste 303
Snellville, GA 30078-3115

Phone

(770) 674-2875

Fax

(770) 674-2876

NPI assigned

Jul 26, 2017

Organization subpart

No

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

Authorized official

Name

Moco Willis

Title

Owner

Phone

(770) 674-2875

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063936623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 303",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "770-674-2875",
            "fax_number": "770-674-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 303",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "770-674-2875",
            "fax_number": "770-674-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "MOCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-674-2875"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikram Kunal Sabarwal
• Kirk D Saddler, MD
• Safe Haven Home Care Inc
• Saferide Occupational Therapy Transport LLC
• Safeway Healthcare, Inc.
• Arelis Salas Robinson, MD
• Saba Saleh, PHARMD
• David E Saliba, O.D.
• Ali Saligheh Araghi, MD
• Jesni Sam

• Durable Medical Equipment & Medical Supplies in Snellville, GA
• Providers in Snellville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.