SAFEWAY PHARMACY #0521
NPI 1457380487
Pharmacy - Community/Retail Pharmacy in Boring, OR

Active since July 02, 2006CLIA 38D2274197 · Waiver
20151 SE HIGHWAY 212, BORING, OR 97089(503) 658-7005(503) 658-7081 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

About Safeway Pharmacy #0521 NPPES

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

SAFEWAY PHARMACY #0521 (NPI 1457380487) is a healthcare organization registered as a community/retail pharmacy in Boring, 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

NPI1457380487
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address20151 SE HIGHWAY 212Boring, OR 97089-9220
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Fax(503) 658-7081
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 1457380487 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 · 0001006
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
20151 SE HIGHWAY 212, Boring, OR 97089

Other Names 1

Doing Business AsSafeway Pharmacy #0521

Other Identifiers 3

Medicaid111930OR
Other2077957Pk
Medicaid269248OR

Accepted 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 38D2274197

Safeway Pharmacy #0521 · Boring, OR
Active · expires Dec 27, 2026
CLIA Number38D2274197
Laboratory TypePharmacy
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorDaniel Breedlove
Laboratory Phone(503) 658-7005
Laboratory LocationSafeway Pharmacy #052120151 SE Highway 212, Boring, OR 97009
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

The provider carries the following medical supplies product categories:

PTAN
20463635
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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.

Pharmacist
20151 SE HIGHWAY 212
DAMASCUS, OR 97089
Pharmacist
20151 SE HIGHWAY 212
BORING, OR 97089
Pharmacist
20151 SE HIGHWAY 212
BORING, OR 97089
Pharmacy (Community/Retail Pharmacy)
20151 SE HIGHWAY 212
DAMASCUS, OR 97089

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457380487, enumerated as an "organization" on July 02, 2006.

The provider is located at 20151 SE HIGHWAY 212 BORING, OR 97089 and the phone number is (503) 658-7005.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arizona. Please consult your insurance carrier or call the provider to verify.