SAFEWAY INC (NPI# 1083643050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 54013028 | IL | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1460067 | 01 |
| Other Name | Type Code |
|---|---|
| DOMINICKS | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
13180 CICERO AVE |
| City | CRESTWOOD |
| State | IL |
| Zip Code | 60445-1470 |
| 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 |
| Find all providers in zip 60445 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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] |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.