Organization · Type 2 NPI

Safeway Inc

Community/Retail Pharmacy · Boulder, CO

NPI number 1720024342 Active

Practice location

4800 Baseline Rd
Boulder, CO 80303-2699

Call (303) 494-8851 Map

Fax (303) 554-7085

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PDO.0090000024 (CO)

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 …

12 other providers at this address

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NPI record

NPI: 1720024342
Entity type: Organization (Type 2)
Issued: Jun 21, 2006
Last updated: Jun 1, 2026
Status: Active

Other names

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Safeway Pharmacy #2919 · doing business as
Safeway Pharmacy #2919 · doing business as

Authorized official

Kathy Giannakopoulos
Enrollments Manager
(208) 395-3954

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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 1720024342

Safeway Inc's National Provider Identifier is 1720024342, issued on Jun 21, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Boulder, CO. The record was last updated on Jun 1, 2026.