Active NPI
Safeway Pharmacy
- Community/Retail Pharmacy
- Woodland, WA
National Provider Identifier
1417258674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 56786
- Legal business name
- SAFEWAY PHARMACY
- Practice address
- Safeway 1725 Pacific Avenue
Woodland, WA 98674 - Phone
- (360) 225-4375
- NPI assigned
- Nov 4, 2010
- 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
- Dr. Mauricio L. Austin, PHARM.D.
- Title
- Floater Pharmacist
- Phone
- (360) 225-4375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 56786 | WA | Primary |
Addresses
Primary practice location
Safeway 1725 Pacific Avenue
Woodland, WA 98674
Mailing address
PO Box 873051
Vancouver, WA 98687-3051
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288828800000",
"number": "1417258674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 873051",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986873051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAFEWAY 1725 PACIFIC AVENUE",
"city": "WOODLAND",
"state": "WA",
"postal_code": "98674",
"telephone_number": "360-225-4375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFEWAY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-04",
"last_updated": "2010-11-04",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "MAURICIO",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "FLOATER PHARMACIST",
"authorized_official_telephone_number": "360-225-4375",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WA",
"license": "56786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.