Safeway Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0001065 Issued in OR

Legal business name

SAFEWAY INC

Doing business as

Safeway Pharmacy #1666

Practice address

1539 NE Stephens St
Roseburg, OR 97470-1563

Phone

(541) 957-2546

Fax

(541) 957-2548

NPI assigned

Jul 2, 2006

Last updated

Mar 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Giannakopoulos

Title

Enrollments Manager

Phone

(208) 395-3954

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• SAFEWAY PHARMACY #1666 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, OR2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Member of 3

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

• Genuardi's Family Markets LP GFM

  dba Genuardi's Pharmacy #3012

  • Community/Retail Pharmacy
  • Flourtown, PA
  • NPI 1629007687

  Member Of

  NPD member
• Randalls Food & Drugs LP

  dba Tom Thumb Pharmacy #2581

  • Community/Retail Pharmacy
  • Frisco, TX
  • NPI 1366488983

  Member Of

  NPD member
• Vons Companies Inc

  dba Vons Pharmacy #2209

  • Community/Retail Pharmacy
  • Lakewood, CA
  • NPI 1336178383

  Member Of

  NPD member

Practitioners 4

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.

• Shaun Gordon Abernathie, PHARMD

  • Pharmacist
  • Roseburg, OR
  • NPI 1013109701
  NPD (past)
• Joseph Laduke

  • Pharmacist
  • Myrtle Creek, OR
  • NPI 1295263226
  NPD (past)
• Craig Anthony Pierce, RPH

  • Pharmacist
  • Roseburg, OR
  • NPI 1437459930
  NPD (past)
• Stewart Lynn Richards, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Roseburg, OR
  • NPI 1316439730
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1780613729",
    "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": "1539 NE STEPHENS ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701563",
            "telephone_number": "541-957-2546",
            "fax_number": "541-957-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "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": "OR",
            "license": "0001065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2078044",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027508",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213334",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFEWAY PHARMACY #1666",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAFEWAY PHARMACY #1666",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherry Rutledge
• Mansi S Sabne, PT
• Fuey Annie Choy Saefong, PHARMD
• Thaen Chiam Saelee, PSY.D
• Dana Safavian, MD
• Malissa Saintil
• Maria Antonia Salazar, CHW
• Erin Saldana
• Rob Salerno
• Clare Yvonne Salthouse, M.A., LPC, NCC

• Community/Retail Pharmacy in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.