1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Pharmacy
  6. NPI Profile

SAFEWAY PHARMACY #0509
NPI 1356370381
Pharmacy - Community/Retail Pharmacy in Portland, OR

Active since July 02, 2006CLIA 38D2274178 · Waiver
5920 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97211(503) 288-3272(503) 528-0587 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2020, Oct 3, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #0509 NPPES

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

SAFEWAY PHARMACY #0509 (NPI 1356370381) is a healthcare organization registered as a community/retail pharmacy in Portland, Oregon and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1356370381
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address5920 NE MARTIN LUTHER KING BLVDPortland, OR 97211-3120
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Phone(503) 288-3272
Fax(503) 528-0587
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 3, 20203 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1356370381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OR · 0001054
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
5920 NE MARTIN LUTHER KING BLVD, Portland, OR 97211
Open in Google Maps ↗

Other Names 1

Doing Business AsSafeway Pharmacy #0509

Other Identifiers 3

Other2078037Pk
Medicaid204776OR
Medicaid269243OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Safeway Pharmacy #0509 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20100930063101DME · PharmacyDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 38D2274178

Safeway Pharmacy #0509 · Portland, OR
Active · expires Dec 27, 2026
CLIA Number38D2274178
Laboratory TypePharmacy
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorBrigitte Jones
Laboratory Phone(503) 288-3272
Laboratory LocationSafeway Pharmacy #05095920 NE Ml King Blvd, Portland, OR 97211
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.

1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
5920 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97211
Multnomah County (503) 288-3272
POOJA PALEJWALA PHARMD
Pharmacist
5920 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97211
Multnomah County (503) 288-3272

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 1356370381. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #0509.

Where is Safeway Inc located?

Safeway Inc is located at 5920 NE Martin Luther King Blvd, Portland, OR 97211. The listed phone number is (503) 288-3272.

What is Safeway Inc's specialty?

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

Is Safeway Inc enrolled in Medicare?

Yes. Safeway Inc is registered in the Medicare PECOS enrollment system.

When is Safeway Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oregon, Pharmacy) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Safeway Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2274178) is associated with this NPI, valid through December 27, 2026. 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 Arkansas Health & Wellness and Ambetter from Louisiana Healthcare Connections and 38 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 3, 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.