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SAFEWAY PHARMACY #4711
NPI 1053557801
Pharmacy - Community/Retail Pharmacy in Coos Bay, OR

Active since December 29, 2008
1900 WOODLAND DR, COOS BAY, OR 97420(541) 266-7542(541) 266-7638 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Safeway Pharmacy #4711 NPPES

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

SAFEWAY PHARMACY #4711 (NPI 1053557801) is a healthcare organization registered as a community/retail pharmacy in Coos Bay, Oregon and active in the NPI registry since December 2008. The organization lists Michelle Rivers, Managed Care Plan Specialist, as its authorized official.

NPPES Registry Identity

NPI1053557801
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address1900 WOODLAND DRCoos Bay, OR 97420-2045
Mailing Address20427 N 27th Ave # Ms 4551Phoenix, AZ 85027-3241 · (623) 869-3524 · Fax (623) 869-1232
Phone(541) 266-7542
Fax(541) 266-7638
Organization SubpartNo
Authorized OfficialMichelle RiversManaged Care Plan Specialist · (623) 869-3524
Enumeration DateDecember 29, 2008
Last NPPES UpdateMay 20, 2010
✔ NPI 1053557801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
1900 WOODLAND DR, Coos Bay, OR 97420
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Other Names 1

Doing Business AsSafeway Pharmacy #4711

Other Identifiers 5

Medicare NSC0237520848
Other3843441OR · Ncpdp
Medicaid1053557801OR
Medicare PINPHC015
Medicare PINP00229889

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Safeway Pharmacy #1556 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1556

DMEPOS supplier · Coos Bay, OROperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #1556 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20465129
Medicare Participant SinceJanuary 1, 2017
Supplier Location230 E Johnson AveCoos Bay, OR 97420
Phone(541) 267-1709
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLIN O'REILLY
Physical Therapist
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
CHLOE NICOLE LEIBY PT, DPT
Physical Therapist
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
BHAVANI PEDDAGOVINDU MD
Internal Medicine
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
DR. MAYNIKA VANI RASTOGI MD
Pediatrics
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
LISA M BOYLE RPH
Pharmacist
1900 WOODLAND DR, SUITE A
COOS BAY, OR 97420
Coos County (541) 267-4815
SHARON ELAINE MONSIVAIS M.D.
Surgery (Plastic and Reconstructive Surgery)
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
DR. DONNA LEE RABIN MD
Pediatrics
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
MR. GREGORY SOPKA PA
Physician Assistant
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Safeway Inc's NPI number?

The NPI number for Safeway Inc is 1053557801. It was assigned to this organization in the NPPES registry on December 29, 2008. The provider is doing business as Safeway Pharmacy #4711.

Where is Safeway Inc located?

Safeway Inc is located at 1900 Woodland Dr, Coos Bay, OR 97420. The listed phone number is (541) 266-7542.

What is Safeway Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Safeway Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Safeway Pharmacy #1556 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Safeway Inc was last updated on May 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.