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

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

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: July 19, 2026.

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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

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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.

MARY IRENE HERNANDEZ MPT, CWS

Physical Therapist