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SAFEWAY PHARMACY #1556
NPI 1487425401
Pharmacy - Community/Retail Pharmacy in Coos Bay, OR

Active since January 09, 2024CLIA 38D2081028 · Waiver
230 JOHNSON STREET, COOS BAY, OR 97420(541) 267-1709(541) 267-1712 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Safeway Pharmacy #1556 NPPES

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

SAFEWAY PHARMACY #1556 (NPI 1487425401) is a healthcare organization registered as a community/retail pharmacy in Coos Bay, Oregon and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Kevin Mcnamara, Authorized Person, as its authorized official.

NPPES Registry Identity

NPI1487425401
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business Name1918 WINTER STREET OPERATING CO LLC
Location Address230 JOHNSON STREETCoos Bay, OR 97420
Mailing Address7 Corporate DrKeene, NH 03431-5042 · (603) 354-7000
Phone(541) 267-1709
Fax(541) 267-1712
Organization SubpartNo
Authorized OfficialKevin McnamaraAuthorized Person · (603) 354-4619
Enumeration DateJanuary 9, 2024
Last NPPES UpdateJuly 25, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1487425401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
230 JOHNSON STREET, Coos Bay, OR 97420
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Other Names 1

Doing Business AsSafeway Pharmacy #1556

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 38D2081028

Safeway Pharmacy #1556 · Coos Bay, OR
Active · expires Jul 16, 2028
CLIA Number38D2081028
Laboratory TypePharmacy
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorAlfred Abrahamsen
Laboratory Phone(541) 267-1709
Laboratory LocationSafeway Pharmacy #1556230 E Johnson Ave, Coos Bay, OR 97420
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SAFEWAY INC
Pharmacy (Community/Retail Pharmacy)
230 JOHNSON STREET
COOS BAY, OR 97420
Coos County (541) 267-1709

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 1918 Winter Street Operating Co LLC's NPI number?

The NPI number for 1918 Winter Street Operating Co LLC is 1487425401. It was assigned to this organization in the NPPES registry on January 9, 2024. The provider is doing business as Safeway Pharmacy #1556.

Where is 1918 Winter Street Operating Co LLC located?

1918 Winter Street Operating Co LLC is located at 230 Johnson Street, Coos Bay, OR 97420. The listed phone number is (541) 267-1709.

What is 1918 Winter Street Operating Co LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does 1918 Winter Street Operating Co LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2081028) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 1918 Winter Street Operating Co LLC was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.