HAGGEN PHARMACY #3493 (SAFEWAY INC) NPI 1467807883

Pharmacy (Community/Retail Pharmacy) in Ferndale, WA

NPI 1467807883 Organization Pharmacy Community/Retail Pharmacy Medicare Supplier Does Not Accept Medicare Approved Payment

About HAGGEN PHARMACY #3493 (SAFEWAY INC)

Haggen Pharmacy #3493 (safeway Inc) is a provider established in Ferndale, Washington specializing in pharmacy (community/retail pharmacy) . The NPI number of Haggen Pharmacy #3493 (safeway Inc) is 1467807883 and was assigned on May 2016. The practitioner's primary taxonomy code is 3336C0003X with license number PHAR.CF.60657805 (WA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Haggen Pharmacy #3493. The authorized official of this NPI record is Kathy Giannakopoulos (Enrollments Manager)

Haggen Pharmacy #3493 is a medicare supplier with PTAN 0237520902 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Orthoses: Off-The-Shelf or Ostomy Supplies or Urological Supplies or Surgical Dressings or Diabetic Shoes and Inserts.

NPI

1467807883

Provider NameHAGGEN PHARMACY #3493 (SAFEWAY INC)
Provider Location Address1815 MAIN ST FERNDALE, WA 98248
Provider Mailing Address250 E PARKCENTER BLVD BOISE, ID 83706
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameHAGGEN PHARMACY #3493
Other Name TypeDoing Business As (3)
Enumeration Date05-04-2016
Last Update Date04-28-2020


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.PHAR.CF.60657805
License StateWA
Taxonomy DescriptionA 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.

Business Address

HAGGEN PHARMACY #3493
1815 MAIN ST
FERNDALE, WA
ZIP 98248
Phone: (360) 380-7210
Fax: (360) 380-7228

Get Directions


Mailing Address

HAGGEN PHARMACY #3493
250 E PARKCENTER BLVD
BOISE, ID
ZIP 83706
Phone: (208) 395-3906
Fax: (623) 336-6896



Authorized Official

Authorized Official Name KATHY GIANNAKOPOULOS
Authorized Official TitleENROLLMENTS MANAGER
Authorized Official Phone(208) 395-3954

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN0237520902
Accepts Medicare AssignmentNO
Specialities ListPharmacy, Grocery Store.
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
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
Competitive BiddingNO

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2062689MEDICAID (05)WA
2160019OTHER (01)

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467602524VISION PLUS INSIDE FERNDALE HAGGEN
Organization
Optometrist1815 MAIN ST
FERNDALE, WA 98248
(360) 393-4000
1861634479EDWIN STICKLE GROUP, INC.
Organization
Family Medicine1815 MAIN ST
FERNDALE, WA 98248
(360) 778-1580
1093022253LABORATORY CORPORATION OF AMERICA
Organization
Clinical Medical Laboratory1815 MAIN ST
FERNDALE, WA 98248
(360) 778-1580
1780617027HAGGEN, INC
Organization
Pharmacy1815 MAIN ST
FERNDALE, WA 98248
(360) 380-7210
1356442917DR. BROOK EDWARD WALKER O.D.
Individual
Optometrist1815 MAIN ST
FERNDALE, WA 98248
(360) 393-4000
1164826541MRS. STEPHANIE ANNE NOMELLINI RPH
Individual
Pharmacist1815 MAIN ST
FERNDALE, WA 98248
(360) 380-7210
1609270719 MARLENE ZAKY SALEEB
Individual
Pharmacist1815 MAIN ST
FERNDALE, WA 98248
(360) 380-7210
1942604046 JAMES WEINERT RPH
Individual
Pharmacist1815 MAIN ST
FERNDALE, WA 98248
(360) 380-7210
1710269618 JAKE DAVID KENT OD
Individual
Optometrist1815 MAIN ST
FERNDALE, WA 98248
(360) 746-8890
1902348345 SUSAN FUN R.PH.
Individual
Pharmacist1815 MAIN ST
FERNDALE, WA 98248
(360) 380-9000
1154606200DR. LEIGH GONGAWARE OD
Individual
Optometrist1815 MAIN ST
FERNDALE, WA 98248
(360) 746-8890

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.