Organization Active NPI

Safeway Pharmacy

  • Community/Retail Pharmacy
  • Woodland, WA
National Provider Identifier
1417258674
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
56786 Issued in WA
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

Updated by the provider on Nov 4, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.