SAFEWAY PHARMACY #1476
NPI 1215973847
Pharmacy - Community/Retail Pharmacy in San Jose, CA

Q: What is Safeway Inc's NPI number?

The NPI number for Safeway Inc is 1215973847. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Safeway Pharmacy #1476.

Q: What is Safeway Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Safeway Inc was last updated on April 21, 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.

Active since June 21, 2006CLIA 05D2084648 · Waiver

1300 W SAN CARLOS ST, SAN JOSE, CA 95126(408) 882-0988(408) 882-0991 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2020, Oct 26, 2018, Jul 19, 2018 and 2 more (5 updates tracked since 2016).

On this page

About Safeway Pharmacy #1476 NPPES

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

SAFEWAY PHARMACY #1476 (NPI 1215973847) is a healthcare organization registered as a community/retail pharmacy in San Jose, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1215973847

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSAFEWAY INC

Location Address1300 W SAN CARLOS STSan Jose, CA 95126-3444

Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-6200 · Fax (623) 336-6896

Phone(408) 882-0988

Fax(408) 882-0991

Organization SubpartNo

Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954

Enumeration DateJune 21, 2006

Last NPPES UpdateApril 21, 20205 updates tracked since enumeration

NPPES CertifiedApril 21, 2020

✔ NPI 1215973847 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 · PHY52464

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

1300 W SAN CARLOS ST, San Jose, CA 95126

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Other Names 1

Doing Business AsSafeway Pharmacy #1476

Other Identifiers 2

Other2003589Pk

Medicaid1215973847CA

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 05D2084648

Safeway Pharmacy #1476 · San Jose, CA

Active · expires Sep 25, 2026

CLIA Number05D2084648

Laboratory TypePharmacy

Certificate Effective DateSeptember 26, 2024

Certificate Expiration DateSeptember 25, 2026

Laboratory DirectorFrancine Doan

Laboratory Phone(408) 882-0988

Laboratory LocationSafeway Pharmacy #14761300 W San Carlos St, San Jose, CA 95126

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 12

Medicare supplier enrollment and the product categories Safeway Pharmacy #1476 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1476

DMEPOS supplier · San Jose, CAOperated by Safeway Inc

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Does not accept Medicare assignment

Safeway Pharmacy #1476 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)20465399

Medicare Participant SinceJanuary 1, 2017

Supplier Location1300 W San Carlos StSan Jose, CA 95126

Phone(408) 882-0988

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

Infusion Drugs

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

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 8

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

E-QUALITY WELLNESS CLINIC

Clinic/Center