Active NPI
Safeway Inc
Doing business as Safeway Pharmacy #2737
- Community/Retail Pharmacy
- Washington, DC
National Provider Identifier
1942457205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RX0800359
- Legal business name
- SAFEWAY INC
- Doing business as
- Safeway Pharmacy #2737
- Practice address
- 490 L St NW
Washington, DC 20001-2545 - Phone
- (202) 719-2439
- Fax
- (202) 719-2440
- NPI assigned
- Aug 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nicole L Bartlett, CPHT
- Title
- Managed Care Plan Specialist
- Phone
- (623) 869-3524
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | DC | ||
| Community/Retail Pharmacy | 3336C0003X | RX0800359 | DC | Primary |
Addresses
Primary practice location
490 L St NW
Washington, DC 20001-2545
Mailing address
PO Box 60000 File No 74150
San Francisco, CA 94160-0001
Phone (623) 869-3524
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904549 | Other | NCPDP | |
| 068812200 | Medicaid | DC |
Other names 1
- SAFEWAY PHARMACY #2737
National Provider Directory
National Provider Directory- Tax ID family
- Safeway Pharmacy 193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316995200000",
"number": "1942457205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60000 FILE NO 74150",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941600001",
"telephone_number": "623-869-3524",
"fax_number": "623-869-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 L ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200012545",
"telephone_number": "202-719-2439",
"fax_number": "202-719-2440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFEWAY INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-19",
"last_updated": "2011-09-26",
"status": "A",
"authorized_official_last_name": "BARTLETT",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGED CARE PLAN SPECIALIST",
"authorized_official_telephone_number": "623-869-3524",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPHT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "DC",
"license": "RX0800359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0904549",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068812200",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAFEWAY PHARMACY #2737",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.