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SAFEWAY PHARMACY #0485
NPI 1255102331
Pharmacy - Community/Retail Pharmacy in Lynnwood, WA

Active since January 09, 2024CLIA 50D1034902 · Waiver
19500 HIGHWAY 99, LYNNWOOD, WA 98036(425) 670-9723(425) 670-9813 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Safeway Pharmacy #0485 NPPES

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

SAFEWAY PHARMACY #0485 (NPI 1255102331) is a healthcare organization registered as a community/retail pharmacy in Lynnwood, Washington and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kevin Mcnamara, Authorized Person, as its authorized official.

NPPES Registry Identity

NPI1255102331
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name1918 WINTER STREET OPERATING CO LLC
Location Address19500 HIGHWAY 99Lynnwood, WA 98036-5241
Mailing Address7 Corporate DrKeene, NH 03431-5042 · (603) 354-7000
Phone(425) 670-9723
Fax(425) 670-9813
Organization SubpartNo
Authorized OfficialKevin McnamaraAuthorized Person · (603) 354-4619
Enumeration DateJanuary 9, 2024
Last NPPES UpdateJuly 25, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1255102331 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
19500 HIGHWAY 99, Lynnwood, WA 98036
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Other Names 1

Doing Business AsSafeway Pharmacy #0485

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 50D1034902

Safeway Pharmacy #485 · Lynnwood, WA
Active · expires Apr 4, 2028
CLIA Number50D1034902
Laboratory TypePharmacy
Certificate Effective DateDecember 15, 2004
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan Teagrt
Laboratory Phone(425) 670-9723
Laboratory LocationSafeway Pharmacy #48519500 Highway 99, Lynnwood, WA 98036
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ALBERTSONS LLC
Pharmacy (Community/Retail Pharmacy)
19500 HIGHWAY 99
LYNNWOOD, WA 98036
Snohomish County (425) 670-9723
MICHELL MARX
Pharmacist
19500 HIGHWAY 99
LYNNWOOD, WA 98036
Snohomish County (425) 670-9723

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 1918 Winter Street Operating Co LLC's NPI number?

The NPI number for 1918 Winter Street Operating Co LLC is 1255102331. It was assigned to this organization in the NPPES registry on January 9, 2024. The provider is doing business as Safeway Pharmacy #0485.

Where is 1918 Winter Street Operating Co LLC located?

1918 Winter Street Operating Co LLC is located at 19500 Highway 99, Lynnwood, WA 98036. The listed phone number is (425) 670-9723.

What is 1918 Winter Street Operating Co LLC's specialty?

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

Does 1918 Winter Street Operating Co LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1034902) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 1918 Winter Street Operating Co LLC was last updated on July 25, 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.