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SAFEWAY PHARMACY #1653
NPI 1184655995
Pharmacy - Community/Retail Pharmacy in Vancouver, WA

Active since July 06, 2006CLIA 50D1016145 · Waiver
2615 NE 112TH AVE, VANCOUVER, WA 98684(360) 449-5205(360) 449-5208 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2018, Dec 21, 2016 (2 updates tracked since 2016).

About Safeway Pharmacy #1653 NPPES

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

SAFEWAY PHARMACY #1653 (NPI 1184655995) is a healthcare organization registered as a community/retail pharmacy in Vancouver, Washington and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1184655995
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address2615 NE 112TH AVEVancouver, WA 98684-4283
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(360) 449-5205
Fax(360) 449-5208
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 27, 20202 updates tracked since enumeration
NPPES CertifiedApril 27, 2020
✔ NPI 1184655995 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 WA · PHAR.CF.60517965
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
2615 NE 112TH AVE, Vancouver, WA 98684
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Other Names 1

Doing Business AsSafeway Pharmacy #1653

Other Identifiers 2

Other2110825Pk
Medicaid6024087WA

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 50D1016145

Safeway Pharmacy #1653 · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D1016145
Laboratory TypePharmacy
Certificate Effective DateAugust 21, 2003
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan L. Tegart
Laboratory Phone(360) 449-5205
Laboratory LocationSafeway Pharmacy #16532615 NE 112th Ave, Vancouver, WA 98684
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 4

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

1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
2615 NE 112TH AVE
VANCOUVER, WA 98684
Clark County (360) 449-5205
NORA KATHLEEN BOWER PHARMD
Pharmacist
2615 NE 112TH AVE
VANCOUVER, WA 98684
Clark County (360) 449-5205
LE BACH THAI PHARMACIST
Pharmacist
2615 NE 112TH AVE
VANCOUVER, WA 98684
Clark County (360) 449-5205
BROGAN MCKAY WELCH PHARMD
Pharmacist
2615 NE 112TH AVE
VANCOUVER, WA 98684
Clark County (360) 449-5200

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 1184655995. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Safeway Pharmacy #1653.

Where is Safeway Inc located?

Safeway Inc is located at 2615 NE 112th Ave, Vancouver, WA 98684. The listed phone number is (360) 449-5205.

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 50D1016145) is associated with this NPI, valid through April 4, 2028. 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 27, 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.