SAFEWAY
NPI 1053860791
Pharmacy in Clackamas, OR

Active since September 22, 2016CLIA 38D1080622 · Waiver
16300 SE EVELYN ST, CLACKAMAS, OR 97015(503) 305-9700 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Safeway NPPES

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

SAFEWAY (NPI 1053860791) is a healthcare organization registered as a pharmacy in Clackamas, Oregon and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Connie Dunn, Pharmacy District Manager, as its authorized official.

NPPES Registry Identity

NPI1053860791
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSAFEWAY
Location Address16300 SE EVELYN STClackamas, OR 97015-9515
Mailing Address2407 Stringer Gap RdGrants Pass, OR 97527-9573 · (541) 660-7657
Organization SubpartNo
Authorized OfficialConnie DunnPharmacy District Manager · (503) 305-9681
Enumeration DateSeptember 22, 2016
NPI 1053860791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
16300 SE EVELYN ST, Clackamas, OR 97015

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D1080622

Safeway Pharmacy #3541 · Grants Pass, OR
Active · expires Dec 26, 2026
CLIA Number38D1080622
Laboratory TypePharmacy
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorIsmail Yazdad Syed
Laboratory Phone(541) 471-7085
Laboratory LocationSafeway Pharmacy #35411690 SW Allen Creek Rd, Grants Pass, OR 97527
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Pharmacist
16300 SE EVELYN ST
CLACKAMAS, OR 97015
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
16300 SE EVELYN ST
CLACKAMAS, OR 97015
Pharmacist
16300 SE EVELYN ST
CLACKAMAS, OR 97015
Pharmacist
16300 SE EVELYN ST
CLACKAMAS, OR 97015
Pharmacist
16300 SE EVELYN ST
CLACKAMAS, OR 97015
Pharmacist
16300 SE EVELYN ST
CLACKAMAS, OR 97015
Pharmacist
16300 SE EVELYN ST
CLACKAMAS, OR 97015
Pharmacist
16300 SE EVELYN ST
CLACKAMAS, OR 97015

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's NPI number?

The NPI number for Safeway is 1053860791. It was assigned to this organization in the NPPES registry on September 22, 2016.

Where is Safeway located?

Safeway is located at 16300 SE Evelyn St, Clackamas, OR 97015. The listed phone number is (503) 305-9700.

What is Safeway's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Safeway hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1080622) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Safeway was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.