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Export Provider Record NPI 1417988460
Safeway Inc
Organization Subpart: NO
Active
NPI Number1417988460
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1417988460
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-07-06
Last Updated2018-10-29
Authorized OfficialTiffany Eliopulos
ASSISTANT MANAGER, ENROLLMENTS
Phone: 2083953906
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-B
Boise, ID 83706-3940
United States
📍 View Map
Primary Practice Address905 E Mead Ave
Yakima, WA 98903-3721
United States
Phone: (509) 248-8782 | Fax: (509) 248-6425
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-2110613PK
MEDICAIDWA6022594-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies--
Yes3336C0003X – Pharmacy, Community/Retail PharmacyWAPHAR.CF.60517970
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About NPI 1417988460

Safeway Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1417988460. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Yakima, WA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417988460?

NPI 1417988460 belongs to Safeway Inc, a Pharmacy, Community/Retail Pharmacy in Yakima, WA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417988460 active?

The current status of NPI 1417988460 in the NPPES registry is Active. The record was last updated on 2018-10-29.

What specialty is NPI 1417988460?

NPI 1417988460 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 1417988460?

You can verify NPI 1417988460 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 1417988460?

The primary practice address on file for NPI 1417988460 is 905 E Mead Ave, Yakima, WA 98903-3721. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417988460 issued?

NPI 1417988460 was first issued (enumerated) on 2006-07-06. The NPPES record was last updated on 2018-10-29.

Practice Location Map

Safeway Inc is located at 905 E Mead Ave, Yakima, WA. Use the map below to find directions or verify the practice location.

📍 905 E Mead Ave, Yakima, WA 98903-3721  ·  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 1417988460. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyPHAR.CF.60517970WA
Data Verified from CMS NPPES Last synced: 2026-08-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162