Active NPI
Safeway Inc
Doing business as Dominicks
- Community/Retail Pharmacy
- South Elgin, IL
National Provider Identifier
1427087436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SAFEWAY INC
- Doing business as
- Dominicks
- Practice address
- 622 Randall Rd
South Elgin, IL 60177-3314 - Phone
- (847) 742-4523
- Fax
- (847) 742-4589
- NPI assigned
- Jul 2, 2006
- Last updated
- Sep 11, 2025
- 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
- Patrick Harris, CPHT MBA
- Title
- Managed Care Analyst
- Phone
- (623) 869-3778
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Pharmacy | 333600000X | IL |
Addresses
Primary practice location
622 Randall Rd
South Elgin, IL 60177-3314
Mailing address
20427 N 27TH Ave MSC 4501
Phoenix, AZ 85027-3241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1475272 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- DOMINICKS
National Provider Directory
National Provider Directory- Tax ID family
- Dominicks
Other organizations with this tax ID 16
Organizations that report the same tax identification number in the National Provider Directory.
Locations
622 Randall Rd
South Elgin, IL 60177
Phone (847) 742-4523
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- South Elgin, IL
- NPI 1154448108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1427087436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20427 N 27TH AVE MSC 4501",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 RANDALL RD",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601773314",
"telephone_number": "847-742-4523",
"fax_number": "847-742-4589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFEWAY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "MANAGED CARE ANALYST",
"authorized_official_telephone_number": "623-869-3778",
"authorized_official_credential": "CPHT MBA"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1475272",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DOMINICKS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in South Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.