Active NPI
Safeway Inc
- Community/Retail Pharmacy
- Spokane, WA
National Provider Identifier
1487685285
On this page
- Key facts
- Authorized official
- Member of3
- Practitioners5
- Laboratory certificates & supplier records
- Medicare participation
- Medicare enrollment records2
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers2
- Other names1
- NPI Registry JSON
- Other providers in Spokane, WA
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHAR.CF.60520798
- Legal business name
- SAFEWAY INC
- Practice address
- 902 W Francis Ave
Spokane, WA 99205-6513 - Phone
- (509) 327-6114
- Fax
- (509) 327-4879
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kathy Giannakopoulos
- Title
- Enrollments Manager
- Phone
- (208) 395-3954
Member of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Community/Retail Pharmacy
- King of Prussia, PA
- NPI 1265659361
NPD member Member Of -
- Community/Retail Pharmacy
- Georgetown, TX
- NPI 1912419649
NPD member Member Of -
- Community/Retail Pharmacy
- Rancho Santa Margarita, CA
- NPI 1659300689
NPD member Member Of
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Spokane, WA
- NPI 1992008783
-
- Pharmacist
- Spokane, WA
- NPI 1194408427
-
- Pharmacist
- Spokane, WA
- NPI 1376059071
-
- Pharmacist
- Spokane, WA
- NPI 1689118382
-
- Pharmacist
- Spokane, WA
- NPI 1538232145
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2061162 | Safeway Pharmacy #3248 | Certificate of waiver | Apr 4, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Safeway Pharmacy #3248 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Surgical Dressings | Does not accept assignment |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040819001277 | TX | Part B Supplier - Centralized Flu Biller | 8628980299 |
This NPI is an additional NPI on the enrollment Practice locations: Boise, ID |
| O20100930063186 | WA | DME Supplier - Pharmacy | 8628980299 | Practice locations: Spokane, WA |
National Provider Directory
National Provider DirectoryLocations
902 W Francis Ave
Spokane, WA 99205
Phone (509) 327-6114
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHAR.CF.60520798 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
902 W Francis Ave
Spokane, WA 99205-6513
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Phone (208) 395-3963
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2110246 | Other | PK | |
| 6016166 | Medicaid | WA |
Other names 1
NPPES NPI Registry- SAFEWAY PHARMACY #3248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2020.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585872000000",
"number": "1487685285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E PARKCENTER BLVD",
"city": "BOISE",
"state": "ID",
"postal_code": "837063940",
"telephone_number": "208-395-3963",
"fax_number": "623-336-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 W FRANCIS AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992056513",
"telephone_number": "509-327-6114",
"fax_number": "509-327-4879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFEWAY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A",
"authorized_official_last_name": "GIANNAKOPOULOS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "ENROLLMENTS MANAGER",
"authorized_official_telephone_number": "208-395-3954"
},
"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": "WA",
"license": "PHAR.CF.60520798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2110246",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6016166",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAFEWAY PHARMACY #3248",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SAFEWAY PHARMACY #3248",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.