HAGGEN PHARMACY #3493 (SAFEWAY INC) NPI 1467807883
Pharmacy (Community/Retail Pharmacy) in Ferndale, WA
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 Name | HAGGEN PHARMACY #3493 (SAFEWAY INC) |
| Provider Location Address | 1815 MAIN ST FERNDALE, WA 98248 |
| Provider Mailing Address | 250 E PARKCENTER BLVD BOISE, ID 83706 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | HAGGEN PHARMACY #3493 |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 05-04-2016 |
| Last Update Date | 04-28-2020 |
Primary Taxonomy
| Taxonomy Code | 3336C0003X |
| Classification | Pharmacy |
| Type | Suppliers |
| Specialization | Community/Retail Pharmacy |
| License No. | PHAR.CF.60657805 |
| License State | WA |
| Taxonomy Description | 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. |
Business Address
HAGGEN PHARMACY #3493
1815 MAIN ST
FERNDALE, WA
ZIP 98248
Phone: (360) 380-7210
Fax: (360) 380-7228
Mailing Address
HAGGEN PHARMACY #3493
250 E PARKCENTER BLVD
BOISE, ID
ZIP 83706
Phone: (208) 395-3906
Fax: (623) 336-6896
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
| PTAN | 0237520902 |
| Accepts Medicare Assignment | NO |
| Specialities List | Pharmacy, Grocery Store. |
| Supplies List |
|
| Competitive Bidding | NO |
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 |
|---|---|---|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | No | |||
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 |
|---|---|---|
| 2062689 | MEDICAID (05) | WA |
| 2160019 | OTHER (01) |
Other Providers at the same location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467602524 | VISION PLUS INSIDE FERNDALE HAGGEN Organization | Optometrist | 1815 MAIN ST FERNDALE, WA 98248 (360) 393-4000 |
| 1861634479 | EDWIN STICKLE GROUP, INC. Organization | Family Medicine | 1815 MAIN ST FERNDALE, WA 98248 (360) 778-1580 |
| 1093022253 | LABORATORY CORPORATION OF AMERICA Organization | Clinical Medical Laboratory | 1815 MAIN ST FERNDALE, WA 98248 (360) 778-1580 |
| 1780617027 | HAGGEN, INC Organization | Pharmacy | 1815 MAIN ST FERNDALE, WA 98248 (360) 380-7210 |
| 1356442917 | DR. BROOK EDWARD WALKER O.D. Individual | Optometrist | 1815 MAIN ST FERNDALE, WA 98248 (360) 393-4000 |
| 1164826541 | MRS. STEPHANIE ANNE NOMELLINI RPH Individual | Pharmacist | 1815 MAIN ST FERNDALE, WA 98248 (360) 380-7210 |
| 1609270719 | MARLENE ZAKY SALEEB Individual | Pharmacist | 1815 MAIN ST FERNDALE, WA 98248 (360) 380-7210 |
| 1942604046 | JAMES WEINERT RPH Individual | Pharmacist | 1815 MAIN ST FERNDALE, WA 98248 (360) 380-7210 |
| 1710269618 | JAKE DAVID KENT OD Individual | Optometrist | 1815 MAIN ST FERNDALE, WA 98248 (360) 746-8890 |
| 1902348345 | SUSAN FUN R.PH. Individual | Pharmacist | 1815 MAIN ST FERNDALE, WA 98248 (360) 380-9000 |
| 1154606200 | DR. LEIGH GONGAWARE OD Individual | Optometrist | 1815 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.