SAFEWAY PHARMACY #1665
NPI 1063441095
Pharmacy - Community/Retail Pharmacy in Redmond, OR

Active since July 02, 2006CLIA 38D2308792 · Waiver
1705 S HIGHWAY 97, REDMOND, OR 97756(541) 504-4166(541) 504-4168 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 1, 2018, Dec 21, 2016 (2 updates tracked since 2016).

About Safeway Pharmacy #1665 NPPES

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

SAFEWAY PHARMACY #1665 (NPI 1063441095) is a healthcare organization registered as a community/retail pharmacy in Redmond, Oregon and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 1, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1063441095
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address1705 S HIGHWAY 97Redmond, OR 97756-9647
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Fax(541) 504-4168
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 27, 20202 updates tracked since enumeration
NPPES CertifiedApril 27, 2020
NPI 1063441095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in OR · 0000476
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
1705 S HIGHWAY 97, Redmond, OR 97756

Other Names 1

Doing Business AsSafeway Pharmacy #1665

Other Identifiers 3

Medicaid223404OR
Other2077811Pk
Medicaid297019OR

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 38D2308792

Safeway Pharmacy #1665 · Redmond, OR
Active · expires Aug 1, 2026
CLIA Number38D2308792
Laboratory TypePharmacy
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorCassidy Thompson
Laboratory Phone(541) 504-4166
Laboratory LocationSafeway Pharmacy #16651705 S Hwy 97, Redmond, OR 97756
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

The provider carries the following medical supplies product categories:

PTAN
20464367
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
  • 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

Other Providers at the Same Location NPPES 9

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

Pharmacist
1705 S HIGHWAY 97
REDMOND, OR 97756
Pharmacist
1705 S HIGHWAY 97, PHARMACY
REDMOND, OR 97756
Pharmacist
1705 S HIGHWAY 97
REDMOND, OR 97756
Pharmacist
1705 S HIGHWAY 97
REDMOND, OR 97756
Pharmacist
1705 S HIGHWAY 97
REDMOND, OR 97756
Pharmacist
1705 S HIGHWAY 97
REDMOND, OR 97756
Pharmacist
1705 S HIGHWAY 97
REDMOND, OR 97756
Pharmacist
1705 S HIGHWAY 97
REDMOND, OR 97756

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063441095, enumerated as an "organization" on July 02, 2006.

The provider is located at 1705 S HIGHWAY 97 REDMOND, OR 97756 and the phone number is (541) 504-4166.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arizona. Please consult your insurance carrier or call the provider to verify.