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SAFEWAY PHARMACY #1258
NPI 1588600357
Pharmacy - Community/Retail Pharmacy in Dixon, CA

Active since June 21, 2006CLIA 05D2058071 · Waiver
1235 STRATFORD AVE, DIXON, CA 95620(707) 678-7402(707) 678-7405 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2020, Oct 22, 2018, Jul 19, 2018 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #1258 NPPES

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

SAFEWAY PHARMACY #1258 (NPI 1588600357) is a healthcare organization registered as a community/retail pharmacy in Dixon, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1588600357
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address1235 STRATFORD AVEDixon, CA 95620-2024
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(707) 678-7402
Fax(707) 678-7405
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJune 21, 2006
Last NPPES UpdateApril 15, 20204 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
✔ NPI 1588600357 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 · PHY52111
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
1235 STRATFORD AVE, Dixon, CA 95620
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Other Names 1

Doing Business AsSafeway Pharmacy #1258

Other Identifiers 2

Medicaid1588600357CA
Other2001961Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.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 05D2058071

Safeway Pharmacy #1258 · Dixon, CA
Active · expires Apr 28, 2027
CLIA Number05D2058071
Laboratory TypePharmacy
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorJi He Moon
Laboratory Phone(707) 678-7402
Laboratory LocationSafeway Pharmacy #12581235 Stratford Ave, Dixon, CA 95620
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 Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Safeway Pharmacy #1258 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1258

DMEPOS supplier · Dixon, CAOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #1258 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20464319
Medicare Participant SinceJanuary 1, 2017
Supplier Location1235 Stratford AveDixon, CA 95620
Phone(707) 678-7402
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

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
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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

JAIME GLORIA CALUYA B.PHARM
Pharmacist
1235 STRATFORD AVE
DIXON, CA 95620
Solano County (707) 678-7402
CHRISTINE NICOLE ABELON PEREZ
Pharmacist
1235 STRATFORD AVE
DIXON, CA 95620
Solano County (707) 678-7402
GAGANDEEP DHILLON
Pharmacist
1235 STRATFORD AVE
DIXON, CA 95620
Solano County (707) 678-7400
DYLAN MICHAEL MOY PHARMD
Pharmacist
1235 STRATFORD AVE
DIXON, CA 95620
Solano County (707) 678-7402
JOHN D.. SMILEY PHARM.DR.
Pharmacist
1235 STRATFORD AVE
DIXON, CA 95620
Solano County (707) 678-7402

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 Safeway Inc's NPI number?

The NPI number for Safeway Inc is 1588600357. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Safeway Pharmacy #1258.

Where is Safeway Inc located?

Safeway Inc is located at 1235 Stratford Ave, Dixon, CA 95620. The listed phone number is (707) 678-7402.

What is Safeway Inc's specialty?

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

Does Safeway Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Safeway Pharmacy #1258 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Safeway Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2058071) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Safeway Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 41 other insurers list Safeway Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Safeway Inc was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.