Safeway Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

40000014 Issued in CO

Legal business name

SAFEWAY INC

Doing business as

Safeway Pharmacy #0330

Practice address

9517 Ralston Rd
Arvada, CO 80002

Phone

(303) 425-7361

Fax

(303) 456-4644

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Managed Care, CPHT

Title

Managed Care Plan Specialist

Phone

(925) 467-2806

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• SAFEWAY PHARMACY #0330 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Genuardi's Family Markets LP

  dba Genuardi's Pharmacy #0651

  • Community/Retail Pharmacy
  • Warrington, PA
  • NPI 1093751612

  Member Of

  NPD member
• Randalls Food & Drugs LP

  dba Tom Thumb Pharmacy #2964

  • Community/Retail Pharmacy
  • Rockwall, TX
  • NPI 1922322098

  Member Of

  NPD member
• Vons Companies Inc

  dba Vons Pharmacy #1621

  • Community/Retail Pharmacy
  • Nipomo, CA
  • NPI 1982633905

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Milton Allen, PH.D.

  • Pharmacist
  • Arvada, CO
  • NPI 1578863122
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1427084201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 STONERIDGE MALL RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883229",
            "fax_number": "925-467-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9517 RALSTON RD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80002",
            "telephone_number": "303-425-7361",
            "fax_number": "303-456-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "CARE",
        "authorized_official_first_name": "MANAGED",
        "authorized_official_title_or_position": "MANAGED CARE PLAN SPECIALIST",
        "authorized_official_telephone_number": "925-467-2806",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "40000014",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0609430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00229889",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03765369",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLU PROVIDER",
            "identifier": "PHC015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFEWAY PHARMACY #0330",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Cory Ryan, MD DDS
• Ryze Psychiatry
• Barbara Saban, LCSW
• Sarmad Sabour, MD
• Safeway Inc (Safeway Pharmacy #1998)
• Sage Dentistry II PLLC (Arvada Dentistry of Colorado)
• Sage Dentistry VI (Westminster Dentistry of Colorado)
• Christopher J. Sakkaris, DDS
• Eric Salazar
• Samantha Nicole Salazar

• Durable Medical Equipment & Medical Supplies in Arvada, CO
• Providers in Arvada, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.