SAFEWAY PHARMACY #0956
NPI 1063441004
Pharmacy - Community/Retail Pharmacy in Santa Rosa, CA

Active since July 02, 2006CLIA 05D2268611 · Waiver
1799 MARLOW RD, SANTA ROSA, CA 95401(707) 528-3730(707) 528-0760 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2018, Jul 19, 2018, Dec 21, 2016 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #0956 NPPES

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

SAFEWAY PHARMACY #0956 (NPI 1063441004) is a healthcare organization registered as a community/retail pharmacy in Santa Rosa, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 13, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1063441004
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address1799 MARLOW RDSanta Rosa, CA 95401-4474
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-6200 · Fax (623) 336-6896
Fax(707) 528-0760
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 28, 20204 updates tracked since enumeration
NPPES CertifiedApril 28, 2020
NPI 1063441004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in CA · PHY52447
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
Also ListedPharmacyTaxonomy 333600000X
1799 MARLOW RD, Santa Rosa, CA 95401

Other Names 1

Doing Business AsSafeway Pharmacy #0956

Other Identifiers 2

Medicaid1063441004CA
Other2002889Pk

Accepted Insurance

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 05D2268611

Safeway Pharmacy #0956 · Santa Rosa, CA
Active · expires Sep 13, 2026
CLIA Number05D2268611
Laboratory TypePharmacy
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorDeclan Prendergast
Laboratory Phone(707) 528-3730
Laboratory LocationSafeway Pharmacy #09561799 Marlow Rd, Santa Rosa, CA 95401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Safeway Pharmacy #0956 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #0956

DMEPOS supplier · Santa Rosa, CAOperated by Safeway Inc

Does not accept Medicare assignment

Safeway Pharmacy #0956 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)20464061
Medicare Participant SinceJanuary 1, 2017
Supplier Location1799 Marlow RdSanta Rosa, CA 95401
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
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
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 10

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

Pharmacist
1799 MARLOW RD
SANTA ROSA, CA 95401
Pharmacist
1799 MARLOW RD
SANTA ROSA, CA 95401
Pharmacist
1799 MARLOW RD
SANTA ROSA, CA 95401
Pharmacist
1799 MARLOW RD
SANTA ROSA, CA 95401
Pharmacist
1799 MARLOW RD
SANTA ROSA, CA 95401
Pharmacist
1799 MARLOW RD
SANTA ROSA, CA 95401
Pharmacist
1799 MARLOW RD
SANTA ROSA, CA 95401
Pharmacist
1799 MARLOW RD
SANTA ROSA, CA 95401

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 1063441004. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #0956.

Where is Safeway Inc located?

Safeway Inc is located at 1799 Marlow Rd, Santa Rosa, CA 95401. The listed phone number is (707) 528-3730.

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 #0956 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.

Does Safeway Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2268611) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Safeway Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 40 other insurers list Safeway Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Safeway Inc was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.