Safeway Inc

Community/Retail Pharmacy · Bend, OR

Organization Active NPI

NPI number 1790716504

Practice location

2650 NE Highway 20
Bend, OR 97701-6976

Phone: (541) 383-6509
Fax: (541) 383-6513

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NPI record

NPI: 1790716504
Entity type: Organization (Type 2)
Enumeration date: July 6, 2006
Last updated: April 22, 2020
Certified: April 22, 2020
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Community/Retail Pharmacy Primary	`3336C0003X`	0001462	OR
Durable Medical Equipment & Medical Supplies	`332B00000X`	—	—

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Authorized official

Name: Kathy Giannakopoulos
Title: Enrollments Manager
Phone: (208) 395-3954

Other names

Safeway Pharmacy #1504
Safeway Pharmacy #1504

About Safeway Inc

Safeway Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 2650 NE Highway 20, Bend, OR 97701-6976. The NPI number 1790716504 was assigned on July 6, 2006 and the record was last updated on April 22, 2020.

Safeway Inc lists a license in the registry: #0001462 (OR) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Kathy Giannakopoulos, Enrollments Manager.

Frequently asked questions

What is the NPI number of Safeway Inc?

The NPI number is 1790716504.

What is the phone number of Safeway Inc?

The phone number listed for the practice location is (541) 383-6509.

Where is Safeway Inc located?

2650 NE Highway 20, Bend, OR 97701-6976.

What is the taxonomy code for Safeway Inc?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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