Organization Active NPI

Safeway Inc

  • Community/Retail Pharmacy
  • Northglenn, CO
National Provider Identifier
1598701195
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAFEWAY INC
Doing business as
SAFEWAY
Practice address
650 Malley Dr
Northglenn, CO 80233-1926
Phone
(303) 451-9221
Fax
(303) 451-7349
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Pharmacy 333600000X CO

Addresses

Primary practice location

650 Malley Dr
Northglenn, CO 80233-1926

Mailing address

20427 N 27TH Ave MSC 4501
Phoenix, AZ 85027-3241

Other identifiers 4

IdentifierTypeStateIssuer
P00229889OtherRAILROAD
0609707OtherOTHER ID NUMBER-COMMERCIAL NUMBER
03765344MedicaidCO
PHC015OtherFLU

Other names 1

  • SAFEWAY Doing business as

National Provider Directory

National Provider Directory

Member of 3

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

Locations

650 Malley Dr
Northglenn, CO 80233
Phone (303) 451-9221

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1598701195",
    "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": "650 MALLEY DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331926",
            "telephone_number": "303-451-9221",
            "fax_number": "303-451-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-11-16",
        "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": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00229889",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0609707",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03765344",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLU",
            "identifier": "PHC015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFEWAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.