Safeway Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAFEWAY INC

Practice address

15099 SE McLoughlin Blvd
Milwaukie, OR 97267-2830

Phone

(503) 652-5629

Fax

(503) 654-8751

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Sunny Yost, CPHT

Title

Managed Care Plan Specialist

Phone

(925) 467-2806

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SAFEWAY PHARMACY #1529 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member of 3

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

• Genuardi'S Family Markets LP (GFM)

  • Community/Retail Pharmacy
  • King of Prussia, PA
  • NPI 1265659361

  Member Of

  NPD member
• Randalls Food & Drugs LP

  • Community/Retail Pharmacy
  • Georgetown, TX
  • NPI 1912419649

  Member Of

  NPD member
• Vons Companies Inc

  • Community/Retail Pharmacy
  • Rancho Santa Margarita, CA
  • NPI 1659300689

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lora W Coronel, R.PH

  • Pharmacist
  • Milwaukie, OR
  • NPI 1427350073
  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": "1402531200000",
    "number": "1942239983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 STONERIDGE MALL RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883229",
            "telephone_number": "925-467-2811",
            "fax_number": "925-467-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15099 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672830",
            "telephone_number": "503-652-5629",
            "fax_number": "503-654-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "MANAGED CARE PLAN SPECIALIST",
        "authorized_official_telephone_number": "925-467-2806",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "RP-0000227",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134341",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3812270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFEWAY PHARMACY #1529",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pradnya Sabnis
• Eva Sachen, OTR/L
• Fredrick Hyde Sackett, PHYSICAL THERAPIST
• Safeway Inc
• Safeway Inc
• Elaine Louise Saghafian, OT
• Phil Salina
• Karlynn Marie Salter, PT
• Konde Salumu
• Mathew Samkutty, OCCUPATIONAL THERAPI

• Community/Retail Pharmacy in Milwaukie, OR
• Providers in Milwaukie, 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 Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.