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SAFEWAY PHARMACY #2656
NPI 1073542007
Pharmacy - Community/Retail Pharmacy in Sparks, NV

Active since July 02, 2006CLIA 29D2208783 · Waiver
2858 VISTA BLVD, SPARKS, NV 89434(775) 352-8475(775) 352-8479 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2020, Oct 4, 2018, Jul 19, 2018 and 2 more (5 updates tracked since 2016).

About Safeway Pharmacy #2656 NPPES

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

SAFEWAY PHARMACY #2656 (NPI 1073542007) is a healthcare organization registered as a community/retail pharmacy in Sparks, Nevada and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1073542007
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address2858 VISTA BLVDSparks, NV 89434-8042
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(775) 352-8475
Fax(775) 352-8479
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 22, 20205 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1073542007 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 NV · PH01820
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
2858 VISTA BLVD, Sparks, NV 89434
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Other Names 1

Doing Business AsSafeway Pharmacy #2656

Other Identifiers 2

Other2051019Pk
Medicaid100500547NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.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 29D2208783

Safeway Pharmacy #2656 · Sparks, NV
Active · expires Jan 7, 2027
CLIA Number29D2208783
Laboratory TypePharmacy
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorBrianne Gustilo
Laboratory Phone(775) 352-8475
Laboratory LocationSafeway Pharmacy #26562858 Vista Blvd, Sparks, NV 89434
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

JAMES G. BARRETT R.PH.
Pharmacist (Pharmacotherapy)
2858 VISTA BLVD
SPARKS, NV 89434
Washoe County (775) 352-8475
SEUNG YEON CHA
Pharmacist
2858 VISTA BLVD
SPARKS, NV 89434
Washoe County (775) 352-8470
DR. JENNIFER JEAN WHEELER
Pharmacist
2858 VISTA BLVD
SPARKS, NV 89434
Washoe County (775) 352-8475
SAFEWAY PHARMACY
Pharmacy (Community/Retail Pharmacy)
2858 VISTA BLVD
SPARKS, NV 89434
Washoe County (775) 352-8475
HANG LEE PHARMD
Pharmacist
2858 VISTA BLVD
SPARKS, NV 89434
Washoe County (775) 352-8475
ISRAA MAHMOOD
Pharmacist
2858 VISTA BLVD
SPARKS, NV 89434
Washoe County (775) 352-8470
PEI DING RPH
Pharmacist
2858 VISTA BLVD
SPARKS, NV 89434
Washoe County (775) 352-8470

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 1073542007. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #2656.

Where is Safeway Inc located?

Safeway Inc is located at 2858 Vista Blvd, Sparks, NV 89434. The listed phone number is (775) 352-8475.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2208783) is associated with this NPI, valid through January 7, 2027. 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 41 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 22, 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.