SAFEWAY INC (NPI# 1982633939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982633939 |
| Entity Type | Organization |
| Organization Name | SAFEWAY INC |
| Other Organization Name | SAFEWAY PHARMACY #1990 |
| Practice Address |
3970 Rivermark Plz Santa Clara CA 95054-4155 |
| Mailing Address |
250 E Parkcenter Blvd Boise ID 83706-3940 |
| Practice Telephone | 4088550985 |
| Practice Fax Number | 4088550989 |
| Mailing Telephone | 2083956200 |
| Mailing Fax Number | 6233366896 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER) |
| Authorized Official Telephone | 2083953954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY52303 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1982633939 | 05 | |
| PK | 1998181 | 01 |
| Other Name | Type Code |
|---|---|
| SAFEWAY PHARMACY #1990 | 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 |
3970 RIVERMARK PLZ |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95054-4155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558846055 | Anh T Le | Pharmacist | 3970 Rivermark Plz, Santa Clara, CA 95054-4155 | 2018-10-01 |
| 1831672328 | Aiko Melanie Flores | Pharmacist | 3970 Rivermark Plz, Santa Clara, CA 95054-4155 | 2018-09-11 |
| 1083164636 | Kuan-lin Huang | Pharmacist | 3970 Rivermark Plz, Santa Clara, CA 95054-4155 | 2016-10-07 |
| 1376943258 | Steven Vinh Nguyen | Pharmacist | 3970 Rivermark Plz, Santa Clara, CA 95054-4155 | 2014-08-28 |
| 1457789869 | Austin Chang | Pharmacist | 3970 Rivermark Plz, Santa Clara, CA 95054-4155 | 2013-10-22 |
| 1447699426 | Sonal Christie | Pharmacist | 3970 Rivermark Plz, Santa Clara, CA 95054-4155 | 2013-06-23 |
| 1841543600 | Peter To Nguyen | Pharmacist | 3970 Rivermark Plz, Santa Clara, CA 95054-4155 | 2012-10-18 |
| 1790031029 | Eugene Hur | Pharmacist | 3970 Rivermark Plz, Santa Clara, CA 95054-4155 | 2012-07-24 |
| 1891905360 | Kyung H Lee | Acupuncturist | 3970 Rivermark Plz, Santa Clara, CA 95054-4155 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629621552 | Pushpa Bhandari | Behavior Technician | 3170 De Lacruz Blvd, Suite 107, Santa Clara, CA 95054 | 2019-07-19 |
| 1275001679 | Janet Johnston-tyler | Counselor | 4655 Old Ironsides Dr., Suite 170, Santa Clara, CA 95054 | 2018-11-05 |
| 1184106643 | Sunshine Acupuncture & Healthcare | Acupuncturist | 3350 Scott Blvd., #28-2, Santa Clara, CA 95054 | 2018-08-31 |
| 1538654496 | Molly Delaney | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1255826111 | Jordan Moore | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1073008934 | Tanya Guerrero | Speech-Language Pathologist | 4701 Patrick Henry Drive., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1366931305 | Jacqueline Genna | Speech-Language Pathologist | 4701 Patrick Henry Drive, Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-05-04 |
| 1386131886 | Angel Raynetta Stevens | Behavior Technician | 3170 Dela Cruz Blvd., Ste 107, Santa Clara, CA 95054 | 2018-04-19 |
| 1528567468 | Ledia Mati | Chiropractor | 3700 Thomas Rd Ste 207, Santa Clara, CA 95054 | 2018-02-06 |
| 1982133310 | Hien Tue Nguyen | Pharmacist | 3970 Rivermark Plaza, Santa Clara, CA 95054 | 2017-06-08 |
| Find all providers in zip 95054 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396106670 | Ft Bayard Medical Center Department of Health | Pharmacy | 41 Ft. Bayard Rd., Santa Clara, NM 88026 | 2016-03-14 |
| 1689074791 | Garfield Beach Cvs LLC | Pharmacy | 2004 El Camino Real, Santa Clara, CA 95050-4051 | 2014-08-26 |
| 1275681884 | Kaiser Foundation Health Plan Inc | Pharmacy | 710 Lawrence Expy Fl 2, Santa Clara, CA 95051-5173 | 2007-01-08 |
| 1366590978 | Kaiser Foundation Health Plan Inc | Pharmacy | 710 Lawrence Expy Fl 3, Santa Clara, CA 95051-5173 | 2007-01-08 |
| 1023128634 | Costco Wholesale Corporation | Pharmacy | 1601 Coleman Ave, Santa Clara, CA 95050 | 2006-08-30 |
| 1508104712 | Fusion Specialty Pharmacy Inc | Pharmacy | 1100 Canyon View Dr Ste C, Santa Clara, UT 84765-5672 | 2013-01-23 |
| 1447456983 | Kaiser Foundation Health Plan Inc | Pharmacy | 700 Lawrence Expy, 1st Floor, Santa Clara, CA 95051-5173 | 2007-06-22 |
| 1427275528 | Choong Ang Pharmacy Inc | Pharmacy | 2344 El Camino Real, Ste 114, Santa Clara, CA 95050-4072 | 2007-04-19 |
| 1528102696 | Save Mart Supermarkets | Pharmacy | 3705 El Camino Real, Santa Clara, CA 95051-2614 | 2007-02-20 |
| 1982749891 | Han's Pharmacy | Pharmacy | 3423 El Camino Real, Santa Clara, CA 95051-2806 | 2007-02-20 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95054 |
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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.