NPIMap

Organization Active NPI

Safeway Pharmacy

  • Pharmacy Technician
  • Prescott, AZ
National Provider Identifier
1285750364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
910 Issued in AZ
Legal business name
SAFEWAY PHARMACY
Practice address
450 White Spar Rd
Prescott, AZ 86303-4626
Phone
(928) 778-3098
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daysha Marie Hernandez
Title
Tech
Phone
(928) 778-3098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 183700000X 910 AZ Primary

Addresses

Primary practice location

450 White Spar Rd
Prescott, AZ 86303-4626

Mailing address

3120 N Sunset Dr
Chino Valley, AZ 86323-4938
Phone (928) 636-1064

National Provider Directory

National Provider Directory
Tax ID family
Safeway Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285750364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 N SUNSET DR",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863234938",
            "telephone_number": "928-636-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WHITE SPAR RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034626",
            "telephone_number": "928-778-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DAYSHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "TECH",
        "authorized_official_telephone_number": "928-778-3098"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacy Technician",
            "state": "AZ",
            "license": "910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.