Safeway Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

RPH-0015402 Issued in OR

Legal business name

SAFEWAY PHARMACY

Practice address

16300 SE Evelyn St
Clackamas, OR 97015-9515

Phone

(503) 451-4009

NPI assigned

Aug 30, 2016

Last updated

Aug 30, 2016By 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

Jordyn Nelson, PHARMD

Title

Pharmacist

Phone

(360) 393-0912

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1174079123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 KINSROW AVE",
            "address_2": "APT 271",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018864",
            "telephone_number": "360-393-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SE EVELYN ST",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159515",
            "telephone_number": "503-451-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JORDYN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "360-393-0912",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RPH-0015402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sabin, PMHNP-BC
• Amit Sadana, MD
• Daisy V Saechao
• Safeway
• Safeway Pharmacy
• Joan Donna Marie Sage, M.D.
• Whitney Nicole Sager, LMT
• Daryl Sakado
• Linda Saling, MSSW
• Stephanie Christine Saling, EFDA, EFODO

• Pharmacy in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.