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SAFEWAY INC
NPI 1184473654
Pharmacy - Community/Retail Pharmacy in Elk Grove, CA

Active since May 16, 2024CLIA 05D2316014 · Waiver
10050 BRUCEVILLE RD., ELK GROVE, CA 95757(916) 479-7020(916) 479-7202 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Safeway Inc NPPES

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

SAFEWAY INC (NPI 1184473654), doing business as Safeway Pharmacy #0094, is a healthcare organization registered as a community/retail pharmacy in Elk Grove, California and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through December 23, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1184473654
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address10050 BRUCEVILLE RD.Elk Grove, CA 95757
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3999 · (208) 395-3954
Phone(916) 479-7020
Fax(916) 479-7202
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateMay 16, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1184473654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
10050 BRUCEVILLE RD., Elk Grove, CA 95757
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Other Names 1

Doing Business AsSafeway Pharmacy #0094

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 05D2316014

Safeway Pharmacy #0094 · Elk Grove, CA
Active · expires Dec 23, 2026
CLIA Number05D2316014
Laboratory TypePharmacy
Certificate Effective DateDecember 24, 2024
Certificate Expiration DateDecember 23, 2026
Laboratory DirectorShuyi Zhao
Laboratory Phone(916) 479-7020
Laboratory LocationSafeway Pharmacy #009410050 Bruceville Rd, Elk Grove, CA 95757
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1184473654. It was assigned to this organization in the NPPES registry on May 16, 2024. The provider is doing business as Safeway Pharmacy #0094.

Where is Safeway Inc located?

Safeway Inc is located at 10050 Bruceville Rd., Elk Grove, CA 95757. The listed phone number is (916) 479-7020.

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 05D2316014) is associated with this NPI, valid through December 23, 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 May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.