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Export Provider Record NPI 1184653131
Safeway Inc
Organization Subpart: NO
Active
NPI Number1184653131
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1184653131
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-02
Last Updated2020-03-12
Authorized OfficialKathy Giannakopoulos
Enrollments Manager
Phone: 2083953954
Mailing Address250 E Parkcenter Blvd
Boise, ID 83706-3940
United States
Phone: (208) 395-6200 | Fax: (623) 336-6896
📍 View Map
Primary Practice Address650 N Bisbee Ave
Willcox, AZ 85643-1437
United States
Phone: (520) 384-4612 | Fax: (520) 384-0535
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDAZ119447-
Other (non-Medicare)-1989467PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies--
No333600000X – Pharmacy--
Yes3336C0003X – Pharmacy, Community/Retail PharmacyAZY006212
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About NPI 1184653131

Safeway Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1184653131. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Willcox, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1184653131?

NPI 1184653131 belongs to Safeway Inc, a Pharmacy, Community/Retail Pharmacy in Willcox, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1184653131 active?

The current status of NPI 1184653131 in the NPPES registry is Active. The record was last updated on 2020-03-12.

What specialty is NPI 1184653131?

NPI 1184653131 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1184653131?

You can verify NPI 1184653131 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1184653131?

The primary practice address on file for NPI 1184653131 is 650 N Bisbee Ave, Willcox, AZ 85643-1437. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1184653131 issued?

NPI 1184653131 was first issued (enumerated) on 2006-07-02. The NPPES record was last updated on 2020-03-12.

Practice Location Map

Safeway Inc is located at 650 N Bisbee Ave, Willcox, AZ. Use the map below to find directions or verify the practice location.

📍 650 N Bisbee Ave, Willcox, AZ 85643-1437  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Safeway Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1184653131. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyY006212AZ
Data Verified from CMS NPPES Last synced: 2026-08-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162