Safeway Transportation Inc

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

License

347E00000X Issued in WI

Legal business name

SAFEWAY TRANSPORTATION INC

Practice address

8648 N 53Rd St
Brown Deer, WI 53223-3010

Phone

(414) 264-9455

Fax

(414) 264-4646

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Miss Gabrielle Rabon

Title

Vice President

Phone

(414) 405-4013

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1831484070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8648 N 53RD ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233010",
            "telephone_number": "414-264-9455",
            "fax_number": "414-264-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8648 N 53RD ST",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233010",
            "telephone_number": "414-264-9455",
            "fax_number": "414-264-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "RABON",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "414-405-4013",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "WI",
            "license": "347E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41483000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliese Christine Rucktenwald, M.S.W., LCSW
• Tenia Ruffin, DOULA
• John Ruona, RPH
• Nicole Russell
• Latoya Marie Rutley, AAS
• Sheila A Sampton, APSW, MAC, ICS
• Sashas Wish LLC
• Linda Marie Scherer, LPN
• Laura Katherine Schilling, RPH
• Zoey Schmidt, LCSW, CSAC

• Transportation Broker in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Transportation Broker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.