NPIMap

Organization Active NPI

1918 Winter Street Operating Co LLC

Doing business as Safeway Pharmacy #1515

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1457109043
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
1918 WINTER STREET OPERATING CO LLC
Doing business as
Safeway Pharmacy #1515
Practice address
810 E Glendale Ave
Phoenix, AZ 85020-5332
Phone
(602) 331-0440
Fax
(602) 331-0434
NPI assigned
May 8, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Kevin McNamara
Title
Authorized Person
Phone
(603) 354-4619

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

810 E Glendale Ave
Phoenix, AZ 85020-5332

Mailing address

7 Corporate Dr
Keene, NH 03431-5042
Phone (603) 354-7000

Other names 1

  • SAFEWAY PHARMACY #1515 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
1918 Winter Street Operating Co LLC496 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1457109043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CORPORATE DR",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034315042",
            "telephone_number": "603-354-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205332",
            "telephone_number": "602-331-0440",
            "fax_number": "602-331-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1918 WINTER STREET OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-07-24",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "603-354-4619"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFEWAY PHARMACY #1515",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.