NPIMap

Organization Active NPI

Safeway, Inc.

  • Pharmacy
  • Vallejo, CA
National Provider Identifier
1326583287
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
75824 Issued in CA
Legal business name
SAFEWAY, INC.
Practice address
774 Admiral Callaghan LN
Vallejo, CA 94591-3650
Phone
(707) 554-8060
NPI assigned
Jan 3, 2017
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Farnoosh Farhidmehr
Title
District Pharmacy Manager
Phone
(510) 363-1061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 75824 CA Primary

Addresses

Primary practice location

774 Admiral Callaghan LN
Vallejo, CA 94591-3650

Mailing address

462 Buena Vista Ave Apt B
Alameda, CA 94501-1994

National Provider Directory

National Provider Directory
Tax ID family
Safeway Pharmacy 123470 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1326583287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 BUENA VISTA AVE APT B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 ADMIRAL CALLAGHAN LN",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913650",
            "telephone_number": "707-554-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "FARHIDMEHR",
        "authorized_official_first_name": "FARNOOSH",
        "authorized_official_title_or_position": "DISTRICT PHARMACY MANAGER",
        "authorized_official_telephone_number": "510-363-1061"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "75824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.