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SAFEWAY PHARMACY #2707
NPI 1356370399
Pharmacy - Community/Retail Pharmacy in Stockton, CA

Active since July 02, 2006CLIA 05D2059180 · Waiver
6445 PACIFIC AVE, STOCKTON, CA 95207(209) 472-8605(209) 472-8609 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2020, Oct 4, 2018, Jul 19, 2018 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #2707 NPPES

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

SAFEWAY PHARMACY #2707 (NPI 1356370399) is a healthcare organization registered as a community/retail pharmacy in Stockton, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 25, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1356370399
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address6445 PACIFIC AVEStockton, CA 95207-3715
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(209) 472-8605
Fax(209) 472-8609
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 1, 20204 updates tracked since enumeration
NPPES CertifiedApril 1, 2020
✔ NPI 1356370399 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 CA · PHY52230
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
6445 PACIFIC AVE, Stockton, CA 95207
Open in Google Maps ↗

Other Names 1

Doing Business AsSafeway Pharmacy #2707

Other Identifiers 2

Other2112753Pk
Medicaid1356370399CA

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 05D2059180

Safeway Pharmacy #2707 · Stockton, CA
Active · expires Jan 25, 2027
CLIA Number05D2059180
Laboratory TypePharmacy
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorDaniel Daniel
Laboratory Phone(209) 472-8605
Laboratory LocationSafeway Pharmacy #27076445 N Pacific Ave, Stockton, CA 95207
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 3

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

DEV UDANI PHARMD.
Student in an Organized Health Care Education/Training Program
6445 PACIFIC AVE
STOCKTON, CA 95207
San Joaquin County (209) 472-8600
ROBERT INOSHITA
Pharmacist
6445 PACIFIC AVE
STOCKTON, CA 95207
San Joaquin County (209) 472-8605
AN THUAN PHAM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6445 PACIFIC AVE
STOCKTON, CA 95207
San Joaquin County (209) 472-8605

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 1356370399. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #2707.

Where is Safeway Inc located?

Safeway Inc is located at 6445 Pacific Ave, Stockton, CA 95207. The listed phone number is (209) 472-8605.

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 05D2059180) is associated with this NPI, valid through January 25, 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 1, 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.