SAFEWAY PHARMACY #0788
NPI 1467483271
Pharmacy - Community/Retail Pharmacy in Mill Valley, CA

Active since July 06, 2006CLIA 05D2057743 · Waiver
1 CAMINO ALTO, MILL VALLEY, CA 94941(415) 388-2701(415) 388-7142 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2018, Jul 19, 2018, Dec 21, 2016 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #0788 NPPES

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

SAFEWAY PHARMACY #0788 (NPI 1467483271) is a healthcare organization registered as a community/retail pharmacy in Mill Valley, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1467483271
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address1 CAMINO ALTOMill Valley, CA 94941-2974
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83712-3940 · (208) 395-6200 · Fax (623) 336-6896
Fax(415) 388-7142
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 6, 2006
Last NPPES UpdateOctober 8, 20184 updates tracked since enumeration
NPI 1467483271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in CA · PHY52456
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
Also ListedPharmacyTaxonomy 333600000X
1 CAMINO ALTO, Mill Valley, CA 94941

Other Names 1

Doing Business AsSafeway Pharmacy #0788

Other Identifiers 2

Medicaid1467483271CA
Other1997796Pk

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20466941
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
  • 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
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2057743
Facility Type
Pharmacy
Certificate Effective Date
April 23, 2025
Certificate Expiration Date
April 22, 2027
Laboratory Director
AUDREY ECHIBE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Safeway Pharmacy #0788 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Pharmacist
1 CAMINO ALTO
MILL VALLEY, CA 94941
Pharmacist
1 CAMINO ALTO
MILL VALLEY, CA 94941
Pharmacist
1 CAMINO ALTO
MILL VALLEY, CA 94941
Pharmacist
1 CAMINO ALTO
MILL VALLEY, CA 94941
Pharmacist
1 CAMINO ALTO
MILL VALLEY, CA 94941
Pharmacist
1 CAMINO ALTO
MILL VALLEY, CA 94941
Pharmacist
1 CAMINO ALTO
MILL VALLEY, CA 94941
Pharmacist
1 CAMINO ALTO
MILL VALLEY, CA 94941
Pharmacist
1 CAMINO ALTO
MILL VALLEY, CA 94941

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467483271, enumerated as an "organization" on July 06, 2006.

The provider is located at 1 CAMINO ALTO MILL VALLEY, CA 94941 and the phone number is (415) 388-2701.

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.