SAFEWAY INC


Address: 13180 Cicero Ave, Crestwood, IL 60445-1470
Phone: 7083854810

SAFEWAY INC (NPI# 1083643050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083643050
Entity Type Organization
Organization Name SAFEWAY INC
Other Organization Name DOMINICKS
Practice Address 13180 Cicero Ave
Crestwood
IL 60445-1470
Mailing Address 20427 N 27th Ave Msc 4501
Phoenix
AZ 85027-3241
Practice Telephone 7083854810
Practice Fax Number 7083854653
Enumeration Date 2006-07-02
Last Update Date 2020-08-22
Authorized Official Name PATRICK HARRIS (MANAGED CARE ANALYST)
Authorized Official Telephone 6238693778
Authorized Official Credential CPHT MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 333600000X Pharmacy 54013028 IL Suppliers
X 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 1460067 01

Other Provider/Organization Names

Other Name Type Code
DOMINICKS Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033729322 Safeway Inc Durable Medical Equipment & Medical Supplies 2685 Mill Rd, Kodiak, AK 99615-6638 2020-08-03
1396355681 Safeway Inc Durable Medical Equipment & Medical Supplies 664 W Palmer Wasilla Hwy, Palmer, AK 99645-6535 2020-08-03
1467070979 Safeway Inc Durable Medical Equipment & Medical Supplies 75-971 Henry St, Kailua Kona, HI 96740 2020-07-10
1063042083 Safeway Inc Durable Medical Equipment & Medical Supplies 3383 Bass Lake Rd, El Dorado Hills, CA 95762 2020-01-17
1134768286 Safeway Inc Durable Medical Equipment & Medical Supplies 4080 San Pablo Ave, Hercules, CA 94547 2020-01-06
1922654953 Safeway Inc Durable Medical Equipment & Medical Supplies 94-809 Lumiaina St, Waipahu, HI 96797-5025 2019-08-15
1194371526 Safeway Inc Durable Medical Equipment & Medical Supplies 4316 S Signal Butte Rd, Mesa, AZ 85212 2019-08-12
1659926236 Safeway Inc Durable Medical Equipment & Medical Supplies 708 Shaw Rd, Puyallup, WA 98372-5276 2019-08-09
1467928200 Safeway Inc Durable Medical Equipment & Medical Supplies 3680 Crocker Dr, Ste 100, Sacramento, CA 95818 2018-10-19
1831665678 Safeway Inc Durable Medical Equipment & Medical Supplies 717 State Route 9 Ne, Lake Stevens, WA 98258-7992 2018-10-19

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities SAFEWAY INC. 11555 Dublin Canyon Rd, Pleasanton, CA 94588
New York State Corporations SAFEWAY INC. 28 Liberty St., New York, New York 10005
North Carolina Corporations Safeway Inc. 2 South Salisbury Street, Raleigh, NC 27601
Oregon Corporations, Companies and Business Names SAFEWAY INC. 11555 Dublin Canyon Rd, Pleasanton, CA 94588
Virginia Business Entities SAFEWAY INC. 11555 Dublin Canyon Rd, Pleasanton, California 94588
Massachusetts Corporations SAFEWAY INC. 5918 Stoneridge Mall Rd., Pleasanton, CA 94588
Washington State Corporations SAFEWAY INC. 11555 Dublin Canyon Rd, Pleasanton, CA 94588-2815
Indiana Business Entities SAFEWAY INC. 55 Monument Cir, Ste 1424, Indpls, IN 46204
Oklahoma Business Registrations SAFEWAY INC. George R Robert, 201 4th Street, Oakland, CA 94660
Vermont Business Registrations SAFEWAY INC. 229 South State Street, Dover, DE 19901

Office Location

Street Address 13180 CICERO AVE
City CRESTWOOD
State IL
Zip Code 60445-1470

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861911398 Paula Marie Jensen Hallahan Psychologist Hermansen Elementary School, 101 Wesglen Parkway, Romeoville, IL 60445 2017-09-15
1861933756 Reginald Castillo Emergency Medical Technician, Paramedic 4939 East Circle Dr. #206, Crestwood, IL 60445 2017-03-13
1801259684 Bruce Frank Leo Hearing Instrument Specialist 5553 W. 127th St, Crestwood, IL 60445 2016-03-30
1801291687 Annie Eyer Behavioral Analyst 4942 138th Place, Crestwood, IL 60445 2014-10-23
1679997266 Phoenix Behavioral Services, Inc Case Management 4649 147th Street, Midlothian, IL 60445 2014-02-18
1841537149 Lacy Carol Little Speech-Language Pathologist 14715 Leclaire Ave., Midlothian, IL 60445 2013-01-08
1164709291 Kathleen Chaudhari Pharmacist 4800 W 148th Street, Midlothian, IL 60445 2011-11-03
1063715498 Amanda Rea Bird Behavioral Analyst 5415 129th Pl, Apt 4, Crestwood, IL 60445 2010-12-07
1831376615 Plaza Nursing & Rehab Center, LLC Durable Medical Equipment & Medical Supplies 3249 W 147th St, Midlothiian, IL 60445 2008-01-24
1154475630 Kevin Martin Bargamian Dentist 13549 South Cicero Avenue, Crestwood, IL 60445 2007-01-22
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447668934 Towncare Pharmacy LLC Pharmacy 13805 Cicero Ave, Crestwood, IL 60418-1826 2014-07-28
1740512094 Medication Management Partners Pharmacy 13601 Kenton Ave, Crestwood, IL 60418-1938 2010-02-10
1396776456 Kmart Stores of Illinois LLC Pharmacy 13200 Cicero Ave, Crestwood, IL 60445-1426 2006-07-06
1710343611 Wal-mart Stores East Lp Pharmacy 6501 Veterans Memorial Pkwy, Crestwood, KY 40014-8694 2016-01-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730702549 Aster Pharmacy LLC Pharmacy 9213 Waukegan Rd, Morton Grove, IL 60053-2102 2020-05-27
1568083301 Pointcore, Inc. Pharmacy 1800 N Knoxville Ave Ste G, Peoria, IL 61603-3028 2020-05-04
1336768001 Mhg Pharmacy Services, LLC Pharmacy 2923 N California Ave Ste 240, Chicago, IL 60618-7702 2020-04-13
1184258824 Metropolitian Austin Outpatient Pharmacy LLC Pharmacy 645 S Central Ave Ste 1, Chicago, IL 60644-5059 2020-03-02
1598398455 Washington University Physicians In Illinois - Cancer Center Pharmacy Pharmacy 1418 Cross Street, Suite 180, Shiloh, IL 62269 2020-02-19
1568093615 Carefirst Pharmacy, Inc. Pharmacy 2253 N Cicero Ave, Chicago, IL 60639-3327 2020-01-28
1720624521 Affinity Pharmacy Care LLC Pharmacy 285 W Loop Rd Ste 1, Wheaton, IL 60189-2036 2019-11-27
1104462126 Loyola University Medical Center Pharmacy 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 2019-11-25
1346886512 Value Plus Pharmacy LLC Pharmacy 457 W Liberty St, Wauconda, IL 60084-2452 2019-11-22
1841833100 April M Bailey Pharmacy 1019 Oakcrest Dr, Rantoul, IL 61866-1118 2019-10-18
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Competitor

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City CRESTWOOD
Zip Code 60445

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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