Active NPI
Safeway Inc
Doing business as Dominicks
- Community/Retail Pharmacy
- Chicago, IL
National Provider Identifier
1265461230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SAFEWAY INC
- Doing business as
- Dominicks
- Practice address
- 6623 N Damen Ave
Chicago, IL 60645-5101 - Phone
- (773) 764-9300
- Fax
- (773) 274-9250
- NPI assigned
- Jul 2, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Harris, CPHT MBA
- Title
- Managed Care Analyst
- Phone
- (623) 869-3778
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | IL | ||
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
6623 N Damen Ave
Chicago, IL 60645-5101
Mailing address
20427 N 27TH Ave MSC 4501
Phoenix, AZ 85027-3241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1456068 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- DOMINICKS
National Provider Directory
National Provider Directory- Tax ID family
- Dominicks
Other organizations with this tax ID 16
Organizations that report the same tax identification number in the National Provider Directory.
Locations
6623 N Damen Ave
Chicago, IL 60645
Phone (773) 681-9175
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": "1757548800000",
"number": "1265461230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20427 N 27TH AVE MSC 4501",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6623 N DAMEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606455101",
"telephone_number": "773-764-9300",
"fax_number": "773-274-9250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFEWAY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "MANAGED CARE ANALYST",
"authorized_official_telephone_number": "623-869-3778",
"authorized_official_credential": "CPHT MBA"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1456068",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DOMINICKS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.