Active NPI
Safeway Inc
- Community/Retail Pharmacy
- Cherry Hill, NJ
National Provider Identifier
1245269273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SAFEWAY INC
- Doing business as
- GENUARDIS Pharmacy #0049
- Practice address
- 1632 N Kings Hwy
Cherry Hill, NJ 08034-2302 - Phone
- (856) 470-1213
- Fax
- (856) 470-1205
- NPI assigned
- Jul 2, 2006
- Organization subpart
- Yes
- Parent organization
- SAFEWAY INC
NPPES NPI Registry
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 Analyst
- Phone
- (623) 869-3524
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 28RS00623500 | NJ | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1632 N Kings Hwy
Cherry Hill, NJ 08034-2302
Mailing address
PO Box 60000 File 74150
San Fransisco, CA 94160-0001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3145237 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 9107509 | Medicaid | NJ |
Other names 1
- GENUARDIS Pharmacy #0049
National Provider Directory
National Provider Directory- Part of
- Safeway Pharmacy 1073
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1632 Kings Hwy N
Cherry Hill, NJ 08034
Phone (856) 470-1213
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Cherry Hill, NJ
- NPI 1376828657
-
- Pharmacist
- Cherry Hill, NJ
- NPI 1285934026
-
- Pharmacist
- Cherry Hill, NJ
- NPI 1861792855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282694400000",
"number": "1245269273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60000 FILE 74150",
"city": "SAN FRANSISCO",
"state": "CA",
"postal_code": "941600001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1632 N KINGS HWY",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342302",
"telephone_number": "856-470-1213",
"fax_number": "856-470-1205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFEWAY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAFEWAY INC",
"enumeration_date": "2006-07-02",
"last_updated": "2010-08-25",
"status": "A",
"authorized_official_last_name": "RIVERS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGED CARE ANALYST",
"authorized_official_telephone_number": "623-869-3524",
"authorized_official_credential": "CPHT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "28RS00623500",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3145237",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9107509",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GENUARDIS Pharmacy #0049",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.