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SAFEWAY PHARMACY #0544
NPI 1265203855
Pharmacy - Community/Retail Pharmacy in Bonney Lake, WA

Active since January 11, 2024CLIA 50D2058439 · Waiver
21301 STATE ROUTE 410 E, BONNEY LAKE, WA 98391(253) 862-2533(253) 862-2173 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Safeway Pharmacy #0544 NPPES

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

SAFEWAY PHARMACY #0544 (NPI 1265203855) is a healthcare organization registered as a community/retail pharmacy in Bonney Lake, 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

NPI1265203855
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name1918 WINTER STREET OPERATING CO LLC
Location Address21301 STATE ROUTE 410 EBonney Lake, WA 98391-8468
Mailing Address7 Corporate DrKeene, NH 03431-5042 · (603) 354-7000
Phone(253) 862-2533
Fax(253) 862-2173
Organization SubpartNo
Authorized OfficialKevin McnamaraAuthorized Person · (603) 354-4619
Enumeration DateJanuary 11, 2024
Last NPPES UpdateAugust 6, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1265203855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
21301 STATE ROUTE 410 E, Bonney Lake, WA 98391
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Other Names 1

Doing Business AsSafeway Pharmacy #0544

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 50D2058439

Safeway Pharmacy 544 · Bonney Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D2058439
Laboratory TypePharmacy
Certificate Effective DateMay 7, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan Tegart
Laboratory Phone(253) 862-2533
Laboratory LocationSafeway Pharmacy 54421301 State Route 410 E, Bonney Lake, WA 98391
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 4

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

MR. DMITRIY VALERYEVICH KURKOV PHARM.D
Pharmacist
21301 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-2533
ROBBIE ALLEN
Counselor (Mental Health)
21301 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (855) 801-0175
MR. CHRISTINA LYNN CLARK RPH
Pharmacist
21301 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-2533
SAFEWAY INC
Pharmacy (Community/Retail Pharmacy)
21301 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-2533

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 1265203855. It was assigned to this organization in the NPPES registry on January 11, 2024. The provider is doing business as Safeway Pharmacy #0544.

Where is 1918 Winter Street Operating Co LLC located?

1918 Winter Street Operating Co LLC is located at 21301 State Route 410 E, Bonney Lake, WA 98391. The listed phone number is (253) 862-2533.

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 50D2058439) 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 August 6, 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.