Organization Active NPI

Safeway Pharmacy LLC

Doing business as Safeway Pharmacy

  • Pharmacy
  • Oak Park, MI
National Provider Identifier
1558853770
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5301011403 Issued in MI
Legal business name
SAFEWAY PHARMACY LLC
Doing business as
Safeway Pharmacy
Practice address
25222 Greenfield Rd
Oak Park, MI 48237-4032
Phone
(313) 632-9920
Fax
(313) 632-9920
NPI assigned
Jun 4, 2018
Last updated
Jun 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Authorized official

Name
Hilal Nahle
Title
Owner
Phone
(313) 632-9920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301011403 MI Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

25222 Greenfield Rd
Oak Park, MI 48237-4032

Mailing address

5908 Williamson St
Dearborn, MI 48126-2171
Phone (313) 632-9920

Other identifiers 1

IdentifierTypeStateIssuer
2176774OtherPK

Other names 1

  • Safeway Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

25222 Greenfield Rd
Oak Park, MI 48237
Phone (313) 632-9920

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1558853770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 WILLIAMSON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262171",
            "telephone_number": "313-632-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25222 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482374032",
            "telephone_number": "313-632-9920",
            "fax_number": "313-632-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "NAHLE",
        "authorized_official_first_name": "HILAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-632-9920"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301011403",
            "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": "PK",
            "identifier": "2176774",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safeway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.