SAFEWAY PHARMACY #1055
NPI 1356112833
Pharmacy - Community/Retail Pharmacy in Prescott Valley, AZ

Q: What is 1918 Winter Street Operating Co LLC's NPI number?

The NPI number for 1918 Winter Street Operating Co LLC is 1356112833. It was assigned to this organization in the NPPES registry on January 12, 2024. The provider is doing business as Safeway Pharmacy #1055.

Q: 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.

Active since January 12, 2024CLIA 03D2073008 · Waiver

7720 E HWY 69, PRESCOTT VALLEY, AZ 86314(928) 772-7673(928) 772-6283 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Safeway Pharmacy #1055 NPPES

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

SAFEWAY PHARMACY #1055 (NPI 1356112833) is a healthcare organization registered as a community/retail pharmacy in Prescott Valley, Arizona and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Kevin Mcnamara, Authorized Person, as its authorized official.

NPPES Registry Identity

NPI1356112833

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business Name1918 WINTER STREET OPERATING CO LLC

Location Address7720 E HWY 69Prescott Valley, AZ 86314

Mailing Address7 Corporate DrKeene, NH 03431-5042 · (603) 354-7000

Phone(928) 772-7673

Fax(928) 772-6283

Organization SubpartNo

Authorized OfficialKevin McnamaraAuthorized Person · (603) 354-4619

Enumeration DateJanuary 12, 2024

Last NPPES UpdateJuly 25, 2024

NPPES CertifiedJanuary 9, 2024

✔ NPI 1356112833 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

7720 E HWY 69, Prescott Valley, AZ 86314

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Other Names 1

Doing Business AsSafeway Pharmacy #1055

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 03D2073008

Safeway Pharmacy #1055 · Prescott Valley, AZ

Active · expires Feb 9, 2028

CLIA Number03D2073008

Laboratory TypePharmacy

Certificate Effective DateFebruary 10, 2026

Certificate Expiration DateFebruary 9, 2028

Laboratory DirectorJonathan Cyr

Laboratory Phone(928) 772-7673

Laboratory LocationSafeway Pharmacy #10557220 E Highway 69, Prescott Valley, AZ 86314

CLIA data matches this NPI record on: Name 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.

TONI SMITH BURGOS RPH

Pharmacist

7720 E HWY 69
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 772-6126

SAFEWAY INC

Pharmacy (Community/Retail Pharmacy)

7720 E HWY 69
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 772-7673

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 1356112833. It was assigned to this organization in the NPPES registry on January 12, 2024. The provider is doing business as Safeway Pharmacy #1055.

Where is 1918 Winter Street Operating Co LLC located?

1918 Winter Street Operating Co LLC is located at 7720 E Hwy 69, Prescott Valley, AZ 86314. The listed phone number is (928) 772-7673.

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 03D2073008) is associated with this NPI, valid through February 9, 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.