SAFEWAY PHARMACY #1713
NPI 1013946060
Pharmacy - Community/Retail Pharmacy in West Linn, OR

Active since July 02, 2006CLIA 38D2081034 · Waiver
22000 SALAMO RD, WEST LINN, OR 97068(503) 650-6426(503) 650-6724 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2020, Oct 17, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #1713 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAFEWAY PHARMACY #1713 (NPI 1013946060) is a healthcare organization registered as a community/retail pharmacy in West Linn, Oregon and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1013946060
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address22000 SALAMO RDWest Linn, OR 97068-7230
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Fax(503) 650-6724
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 16, 20203 updates tracked since enumeration
NPPES CertifiedApril 16, 2020
NPI 1013946060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in OR · 0001807
Definition

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 health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
22000 SALAMO RD, West Linn, OR 97068

Other Names 1

Doing Business AsSafeway Pharmacy #1713

Other Identifiers 3

Medicaid500649633OR
Other2079054Pk
Medicaid226309OR

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20465957
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2081034
Facility Type
Pharmacy
Certificate Effective Date
July 17, 2026
Certificate Expiration Date
July 16, 2028
Laboratory Director
DARALYN KAWAMOTO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Safeway Pharmacy #1713 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pharmacist
22000 SALAMO RD
WEST LINN, OR 97068
Pharmacist
22000 SALAMO RD
WEST LINN, OR 97068
Pharmacist
22000 SALAMO RD
WEST LINN, OR 97068
Pharmacist
22000 SALAMO RD
WEST LINN, OR 97068
Pharmacy (Community/Retail Pharmacy)
22000 SALAMO RD
WEST LINN, OR 97068

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013946060, enumerated as an "organization" on July 02, 2006.

The provider is located at 22000 SALAMO RD WEST LINN, OR 97068 and the phone number is (503) 650-6426.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arizona. Please consult your insurance carrier or call the provider to verify.