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SAFEWAY PHARMACY #1200
NPI 1407892284
Pharmacy - Community/Retail Pharmacy in Washington, DC

Active since June 21, 2006CLIA 09D2006349 · Waiver
1855 WISCONSIN AVE NW, WASHINGTON, DC 20007(202) 333-6048(202) 333-8318 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Safeway Pharmacy #1200 NPPES

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

SAFEWAY PHARMACY #1200 (NPI 1407892284) is a healthcare organization registered as a community/retail pharmacy in Washington, District Of Columbia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 18, 2028 and lists Michelle Ann Rivers, Managed Care Plan Specialist, as its authorized official.

NPPES Registry Identity

NPI1407892284
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address1855 WISCONSIN AVE NWWashington, DC 20007-2302
Mailing Address20427 N 27th Ave # Msc4551Phoenix, AZ 85027-3241
Phone(202) 333-6048
Fax(202) 333-8318
Organization SubpartNo
Authorized OfficialMichelle Ann RiversManaged Care Plan Specialist · (623) 869-3524
Enumeration DateJune 21, 2006
Last NPPES UpdateDecember 1, 2008
✔ NPI 1407892284 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 ListedPharmacyTaxonomy 333600000X · License RX8800097 (DC)
1855 WISCONSIN AVE NW, Washington, DC 20007
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Other Names 1

Doing Business AsSafeway Pharmacy #1200

Other Identifiers 5

Medicare PINP00229889DC
Medicaid033588600DC
Medicare NSC0237520214DC
Other0902305Other Id Number-commercial Number
Medicare PINPHC015DC

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 09D2006349

Safeway Pharmacy #2912 · Washington, DC
Active · expires Apr 18, 2028
CLIA Number09D2006349
Laboratory TypePharmacy
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorDr. Deanna Cook
Laboratory Phone(202) 333-6048
Laboratory LocationSafeway Pharmacy #29121855 Wisconsin Avenue, NW, Washington, DC 20007
CLIA data matches this NPI record on: Address Name 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. ALFRED LANTE QUARCOOPOME RPH
Pharmacist
1855 WISCONSIN AVE NW
WASHINGTON, DC 20007
District of Columbia (202) 333-6048
NAI SATURN EASTERN LLC
Pharmacy (Community/Retail Pharmacy)
1855 WISCONSIN AVE NW
WASHINGTON, DC 20007
District of Columbia (202) 333-6048
NICOLE SOQUINASE RPH
Pharmacist
1855 WISCONSIN AVE NW
WASHINGTON, DC 20007
District of Columbia (202) 333-6048
DEANNA COOKE
Pharmacist
1855 WISCONSIN AVE NW
WASHINGTON, DC 20007
District of Columbia (202) 333-6048

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 1407892284. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Safeway Pharmacy #1200.

Where is Safeway Inc located?

Safeway Inc is located at 1855 Wisconsin Ave NW, Washington, DC 20007. The listed phone number is (202) 333-6048.

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 09D2006349) is associated with this NPI, valid through April 18, 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 Safeway Inc was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.