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SAFEWAY PHARMACY #0950
NPI 1285663229
Pharmacy - Community/Retail Pharmacy in Guerneville, CA

Active since July 02, 2006CLIA 05D2060303 · Waiver
16405 HWY 116, GUERNEVILLE, CA 95446(707) 869-0613(707) 869-1945 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2020, Oct 4, 2018, Dec 21, 2016 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #0950 NPPES

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

SAFEWAY PHARMACY #0950 (NPI 1285663229) is a healthcare organization registered as a community/retail pharmacy in Guerneville, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1285663229
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address16405 HWY 116Guerneville, CA 95446
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-6200 · Fax (623) 336-6896
Phone(707) 869-0613
Fax(707) 869-1945
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 15, 20204 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
✔ NPI 1285663229 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 · PHY52471
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
16405 HWY 116, Guerneville, CA 95446
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Other Names 1

Doing Business AsSafeway Pharmacy #0950

Other Identifiers 2

Medicaid1578592531CA
Other2005200Pk

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 05D2060303

Safeway Pharmacy #0950 · Guerneville, CA
Active · expires Jun 9, 2027
CLIA Number05D2060303
Laboratory TypePharmacy
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorMark Skaar
Laboratory Phone(707) 869-0613
Laboratory LocationSafeway Pharmacy #095016405 Highway 116, Guerneville, CA 95446
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 1285663229. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #0950.

Where is Safeway Inc located?

Safeway Inc is located at 16405 Hwy 116, Guerneville, CA 95446. The listed phone number is (707) 869-0613.

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 05D2060303) is associated with this NPI, valid through June 9, 2027. 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 15, 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.