SAFEWAY PHARMACY #4711
NPI 1053557801
Pharmacy - Community/Retail Pharmacy in Coos Bay, OR
- Organization
- Pharmacy
- Community/Retail Pharmacy
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About SAFEWAY PHARMACY #4711
This page provides the complete NPI Profile along with additional information for Safeway Pharmacy #4711, a provider established in Coos Bay, Oregon operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1053557801 assigned on December 2008. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Safeway Pharmacy #4711. The authorized official of this NPI record is Michelle Rivers (Managed Care Plan Specialist)
- NPI
- 1053557801 Verify this NPI
- Provider Legal Name
- SAFEWAY INC
- Other Organization Name
- SAFEWAY PHARMACY #4711
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1900 WOODLAND DR COOS BAY, OR 97420
- Location Phone
- (541) 266-7542
- Location Fax
- (541) 266-7638
- Mailing Address
- 20427 N 27TH AVE # MS 4551 PHOENIX, AZ 85027
- Mailing Phone
- (623) 869-3524
- Mailing Fax
- (623) 869-1232
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-29-2008
- Last Update Date
- 05-20-2010
- Code Navigator
Safeway Pharmacy #4711 is a medicare supplier with PTAN 20465129 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Orthoses: Off-The-Shelf or Ostomy Supplies or Urological Supplies or Surgical Dressings or Diabetic Shoes and Inserts.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0237520848 | MEDICARE NSC (07) | ||
| 3843441 | OTHER (01) | OR | NCPDP |
| 1053557801 | MEDICAID (05) | OR | |
| PHC015 | MEDICARE PIN (08) | ||
| P00229889 | MEDICARE PIN (08) |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20465129
- 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
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053557801, enumerated as an "organization" on December 29, 2008.
The provider is located at 1900 WOODLAND DR COOS BAY, OR 97420 and the phone number is (541) 266-7542.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
