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Active NPI 1538198569 Organization (Entity Type 2)

Safeway Inc

Pharmacy - Community/Retail Pharmacy • Gresham, OR

About Safeway Inc NPI 1538198569 Summary

Safeway Inc is a verified healthcare organization specializing in Pharmacy - Community/Retail Pharmacy operating in Gresham, OR. Located at 1455 NE DIVISION ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1538198569.

Administrative operations and authorized compliance are overseen by Kathy Giannakopoulos (Enrollments Manager).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1455 Ne Division St

Gresham, OR 970304270

Telephone 5034927279
Fax 5034927283

Authorized Official Information

Authorized Contact Name

Kathy Giannakopoulos

Title / Role

Enrollments Manager

Official Telephone

2083953954

Facility Classifications & Specialties

Pharmacy - Community/Retail Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 3336C0003X

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.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked
Rodney Whiteside NPI 1306146485

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Gresham, OR

View Practitioner Profile →
Phuong Linh Ly NPI 1437028891

Pharmacist

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events
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Updated Business Mailing Address March 12, 2020

Registered at 250 E PARKCENTER BLVD, BOISE, ID 837063940 (Tel: 2083953963)

NPI Profile Active December 21, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 21, 2016

Registered at 1455 NE DIVISION ST, GRESHAM, OR 970304270 (Tel: 5034927279)

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Updated Business Mailing Address December 21, 2016

Registered at 250 E PARKCENTER BLVD, MAILSTOP SEC2-B, BOISE, ID 837063940 (Tel: 2083953963)

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Organization / Clinic Name Updated December 21, 2016

Operating as SAFEWAY INC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2016

Durable Medical Equipment & Medical Supplies

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Initial NPI Registration & Enumeration July 02, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1538198569
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 02, 2006
Last Update: March 12, 2020

Mailing Address

250 E Parkcenter Blvd

Boise, ID 837063940

Phone: 2083953963

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.