Organization · Type 2 NPI

Safeway Inc

Community/Retail Pharmacy · San Jose, CA

NPI number 1114320306 Active

Practice location

5760 Cottle Rd
San Jose, CA 95123-3624

Call (408) 362-9623 Map

Fax (408) 362-9741

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHY53411 (CA)

Community/Retail Pharmacy: 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 …

Another provider at this address

Wayne Chan, PHARM DPharmacist San Jose, CA NPI 1326348483

Other community/retail pharmacy providers in San Jose

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NPI record

NPI: 1114320306
Entity type: Organization (Type 2)
Issued: Oct 1, 2014
Last updated: Apr 16, 2020
Status: Active

Other names

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Safeway Pharmacy #2900 · doing business as
Safeway Pharmacy #2900 · doing business as

Authorized official

Kathy Giannakopoulos
Enrollments Manager
(208) 395-3954

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114320306

Safeway Inc's National Provider Identifier is 1114320306, issued on Oct 1, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in San Jose, CA. The record was last updated on Apr 16, 2020.