NPIMap

Organization Active NPI

Safeway Inc

Doing business as Safeway Pharmacy #0209

  • Community/Retail Pharmacy
  • Queen Creek, AZ
National Provider Identifier
1730040973
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAFEWAY INC
Doing business as
Safeway Pharmacy #0209
Practice address
22983 E Riggs Rd
Queen Creek, AZ 85142-7316
Phone
(480) 281-0470
Fax
(480) 281-0471
NPI assigned
Nov 18, 2025
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Kathy Giannakopoulos
Title
Enrollment Manager
Phone
(208) 395-3954

Specialties & licenses 2

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

Addresses

Primary practice location

22983 E Riggs Rd
Queen Creek, AZ 85142-7316

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940
Phone (208) 395-6200

Other names 1

  • SAFEWAY PHARMACY #0209 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260305003131 AZ DME Supplier - PharmacyDME Supplier - Grocery Store 8628980299 Practice locations: Queen Creek, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2338113Safeway Pharmacy #020922983 E Riggs Rd, Queen Creek, AZ 85142Certificate of waiverFeb 4, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Safeway Pharmacy #020922983 E Riggs Rd, Queen Creek, AZ 85142-7316(480) 281-0470 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies|Urological Supplies|Surgical Dressings Does not accept assignmentParticipating since Jan 1, 2017

National Provider Directory

National Provider Directory
Tax ID family
Safeway Pharmacy 159070 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

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

Member of 3

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

Locations (25 of 991)

30 College Rd
#3410
Fairbanks, AK 99701
Phone (907) 374-4160

3627 Airport Way
Ste 1
Fairbanks, AK 99709
Phone (907) 374-4060

2685 Mill Bay Rd
Kodiak, AK 99615
Phone (907) 481-1560

2685 Mill Bay Rd
#1090
Kodiak, AK 99615
Phone (907) 481-1560

44428 Sterling Hwy
Soldotna, AK 99669
Phone (907) 714-5460

44428 Sterling Hwy
#548
Soldotna, AK 99669
Phone (907) 714-5460

109 Pioneer Dr
Valdez, AK 99686
Phone (907) 461-3313

3655 W Anthem Way
#1726
Anthem, AZ 85086
Phone (623) 551-0300

3185 W Apache Trl
#253
Apache Junction, AZ 85120
Phone (480) 288-2728

599 W 4th St
#1275
Benson, AZ 85602
Phone (520) 586-7323

1751 Highway 95
#248
Bullhead City, AZ 86442
Phone (928) 763-1888

1637 N Trekell Rd
#1706
Casa Grande, AZ 85122
Phone (520) 421-4499

29834 N Cave Creek Rd
#1543
Cave Creek, AZ 85331
Phone (480) 563-9395

1060 E Ray Rd
#1605
Chandler, AZ 85225
Phone (480) 855-9922

1159 W Chandler Blvd
#1604
Chandler, AZ 85224
Phone (480) 726-7775

4970 S Alma School Rd
#1566
Chandler, AZ 85248
Phone (480) 883-0260

1031 N Highway 89
#1747
Chino Valley, AZ 86323
Phone (928) 636-8425

1449 N Arizona Blvd
#1732
Coolidge, AZ 85128
Phone (520) 723-5552

1635 E Cottonwood St
#2052
Cottonwood, AZ 86326
Phone (928) 634-2464

90 E 5th St
#1139
Douglas, AZ 85607
Phone (520) 364-7568

1201 S Plaza Way
#2028
Flagstaff, AZ 86001
Phone (928) 556-9170

1500 E Cedar Ave
#1225
Flagstaff, AZ 86004
Phone (928) 774-3750

4910 N US Highway 89
#270
Flagstaff, AZ 86004
Phone (928) 526-5686

3325 N Hunt Hwy
#2835
Florence, AZ 85132
Phone (520) 723-4885

4823 S Highway 95
#1474
Fort Mohave, AZ 86426
Phone (928) 704-4443

Practitioners & affiliated clinicians

Practitioners 1,437

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.

View all 1,437

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1730040973",
    "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": "208-395-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22983 E RIGGS RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427316",
            "telephone_number": "480-281-0470",
            "fax_number": "480-281-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "GIANNAKOPOULOS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ENROLLMENT 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFEWAY PHARMACY #0209",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.

Verify at the official NPI Registry.