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SAFEWAY PHARMACY #1196
NPI 1447282272
Pharmacy - Community/Retail Pharmacy in Sunnyvale, CA

Active since July 06, 2006CLIA 05D1057401 · Waiver
639 S BERNARDO AVE, SUNNYVALE, CA 94087(408) 732-5902(408) 732-5914 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2020, Oct 22, 2018, Jul 19, 2018 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #1196 NPPES

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

SAFEWAY PHARMACY #1196 (NPI 1447282272) is a healthcare organization registered as a community/retail pharmacy in Sunnyvale, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 5, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1447282272
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address639 S BERNARDO AVESunnyvale, CA 94087-1020
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(408) 732-5902
Fax(408) 732-5914
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 13, 20204 updates tracked since enumeration
NPPES CertifiedApril 13, 2020
✔ NPI 1447282272 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 · PHY52468
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
639 S BERNARDO AVE, Sunnyvale, CA 94087
Open in Google Maps ↗

Other Names 1

Doing Business AsSafeway Pharmacy #1196

Other Identifiers 2

Other1992457Pk
Medicaid1447282272CA

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 05D1057401

Safeway Pharmacy #1196 · Sunnyvale, CA
Active · expires May 5, 2027
CLIA Number05D1057401
Laboratory TypePharmacy
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorSonia W. Shah Rph
Laboratory Phone(408) 732-5902
Laboratory LocationSafeway Pharmacy #1196639 South Bernardo Avenue, Sunnyvale, CA 94087
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Safeway Pharmacy #1196 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1196

DMEPOS supplier · Sunnyvale, CAOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #1196 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20464109
Medicare Participant SinceJanuary 1, 2017
Supplier Location639 S Bernardo AveSunnyvale, CA 94087
Phone(408) 732-5902
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

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

DR. SONIA HARISH SHAH RPH
Pharmacist
639 S BERNARDO AVE
SUNNYVALE, CA 94087
Santa Clara County (408) 732-5902
MS. MELODY TSE PHARMD
Pharmacist
639 S BERNARDO AVE
SUNNYVALE, CA 94087
Santa Clara County (408) 702-7211
MR. DOMINICK W TSE RPH
Pharmacist
639 S BERNARDO AVE
SUNNYVALE, CA 94087
Santa Clara County (408) 732-5902
DR. BRENDA ROQUE CASILLAS
Pharmacist
639 S BERNARDO AVE
SUNNYVALE, CA 94087
Santa Clara County (408) 732-5900
DR. DOMENIC VINCENT RUSSO PHARM D
Pharmacist
639 S BERNARDO AVE
SUNNYVALE, CA 94087
Santa Clara County (408) 855-0985
YING WANG
Pharmacist
639 S BERNARDO AVE
SUNNYVALE, CA 94087
Santa Clara County (408) 732-5902

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 1447282272. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Safeway Pharmacy #1196.

Where is Safeway Inc located?

Safeway Inc is located at 639 S Bernardo Ave, Sunnyvale, CA 94087. The listed phone number is (408) 732-5902.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Safeway Pharmacy #1196 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Safeway Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1057401) is associated with this NPI, valid through May 5, 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 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.