Safeway Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SAFEWAY INC

Doing business as

Safeway Pharmacy #1269

Practice address

1541 NE 181St St
Portland, OR 97230-6721

Phone

(503) 665-2565

Fax

(503) 665-3307

NPI assigned

Jul 6, 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 #1269 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)

  dba Genuardis Pharmacy #1007

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

  Member Of

  NPD member
• Randalls Food & Drugs LP

  dba Randalls Pharmacy #2484

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

  Member Of

  NPD member
• Vons Companies Inc

  dba Pavilions Pharmacy #2217

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

  Member Of

  NPD member

Locations

Practitioners 2

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

• Melanie Jean Bowlen, RPH

  • Pharmacist
  • Portland, OR
  • NPI 1760784557
  NPD (past)
• Vickie Khuu, PHARM.D

  • Pharmacist
  • Portland, OR
  • NPI 1518309343
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1982635793",
    "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": "1541 NE 181ST ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306721",
            "telephone_number": "503-665-2565",
            "fax_number": "503-665-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-06-06",
        "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-0001117",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3810238",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008982",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFEWAY PHARMACY #1269",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Safeway Inc (Safeway Pharmacy #0382)
• Safeway Inc (Safeway Pharmacy #1523)
• Safeway Inc (Safeway Pharmacy #1627)
• Safeway Inc (Safeway Pharmacy #3134)
• Safeway Inc (Safeway Pharmacy #1612)
• Areo Saffarzadeh, M.D.
• Kristy Ann Kapiolani Macy Saffery
• Saffron's Specialized Medical, Inc (Saffron's Specialized Medical)
• Joseph J Safirstein, DDS
• Jessica Safra, MD

• Community/Retail Pharmacy in Portland, OR
• Providers in Portland, 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 6, 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.