Safeway Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60520630 Issued in WA

Legal business name

SAFEWAY INC

Doing business as

Safeway Pharmacy #2639

Practice address

430 SE Bishop Blvd
Pullman, WA 99163-5503

Phone

(509) 334-0819

Fax

(509) 334-0847

NPI assigned

Jul 2, 2006

Last updated

Apr 28, 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 2

Other names 1

• SAFEWAY PHARMACY #2639 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, WA2 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 #1005

  • Community/Retail Pharmacy
  • Maple Glen, PA
  • NPI 1801034640

  Member Of

  NPD member
• Randalls Food & Drugs LP

  dba Randalls Pharmacy #1896

  • Community/Retail Pharmacy
  • Cedar Park, TX
  • NPI 1356387971

  Member Of

  NPD member
• Vons Companies Inc

  dba Vons Pharmacy #2200

  • Community/Retail Pharmacy
  • Monrovia, CA
  • NPI 1376589986

  Member Of

  NPD member

Locations

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.

• Carlene L Emerson, PHARMD

  • Pharmacist
  • Pullman, WA
  • NPI 1679873574
  NPD (past)
• Joseph James, PHARMD

  • Pharmacist
  • Pullman, WA
  • NPI 1902539414
  NPD (past)
• Edwin Leopold Ripplinger, PHARMD

  • Pharmacist
  • Pullman, WA
  • NPI 1386857316
  NPD (past)
• Theresa Anne Stem, RPH

  • Pharmacist
  • Pullman, WA
  • NPI 1861606881
  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": "1588032000000",
    "number": "1952330987",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SE BISHOP BLVD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635503",
            "telephone_number": "509-334-0819",
            "fax_number": "509-334-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "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": "WA",
            "license": "PHAR.CF.60520630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108082",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6026884",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFEWAY PHARMACY #2639",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAFEWAY PHARMACY #2639",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James D Ruggio, CDP
• Barbara Ann Russell, ATC
• Jalyn Rutledge
• Donald Christian Sachs Jr., PHARMD
• Chirs Sader
• Lynn Sakamoto, CRNFA
• Amber Sanchez, LMP
• Chad Joseph Sanders, PH.D.
• Dildeep Sangha, DO
• Jennifer Anne Sawmiller, P.A.

• Community/Retail Pharmacy in Pullman, WA
• Providers in Pullman, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.