| NPI | 1376793521 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-09-24 |
| Last Updated | 2020-04-14 |
| Authorized Official | Kathy Giannakopoulos ENROLLMENTS MANAGER Phone: 2083953954 |
| Mailing Address | 250 E Parkcenter Blvd Boise, ID 83706-3940 United States 📍 View Map |
| Primary Practice Address | 1071 11th St Lakeport, CA 95453-4105 United States Phone: (707) 263-8779 | Fax: (707) 263-8783 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 1376793521 | - |
| Other (non-Medicare) | - | 2117428 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | CA | PHY52175 |
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About NPI 1376793521
Safeway Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1376793521. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Lakeport, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-09-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1376793521?
NPI 1376793521 belongs to Safeway Inc, a Pharmacy, Community/Retail Pharmacy in Lakeport, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1376793521 active?
The current status of NPI 1376793521 in the NPPES registry is Active. The record was last updated on 2020-04-14.
What specialty is NPI 1376793521?
NPI 1376793521 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 1376793521?
You can verify NPI 1376793521 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 1376793521?
The primary practice address on file for NPI 1376793521 is 1071 11th St, Lakeport, CA 95453-4105. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1376793521 issued?
NPI 1376793521 was first issued (enumerated) on 2008-09-24. The NPPES record was last updated on 2020-04-14.
Practice Location Map
Safeway Inc is located at 1071 11th St, Lakeport, CA. Use the map below to find directions or verify the practice location.
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 1376793521. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PHY52175 | CA |