SAFEWAY PHARMACY #3095
NPI 1619372646
Pharmacy - Community/Retail Pharmacy in San Jose, CA

Active since November 04, 2014CLIA 05D2270140 · Waiver
2980 E CAPITOL EXPY, SAN JOSE, CA 95148(408) 274-5939(408) 274-5954 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 8, 2020, Oct 8, 2018, Dec 21, 2016 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #3095 NPPES

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

SAFEWAY PHARMACY #3095 (NPI 1619372646) is a healthcare organization registered as a community/retail pharmacy in San Jose, California and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1619372646
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address2980 E CAPITOL EXPYSan Jose, CA 95148-4246
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Fax(408) 274-5954
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateNovember 4, 2014
Last NPPES UpdateApril 8, 20204 updates tracked since enumeration
NPPES CertifiedApril 8, 2020
NPI 1619372646 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 · PHY53412
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
2980 E CAPITOL EXPY, San Jose, CA 95148

Other Names 1

Doing Business AsSafeway Pharmacy #3095

Other Identifiers 2

Medicaid1619372646CA
Other2149488Pk

Accepted 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 05D2270140

Safeway Pharmacy #3095 · San Jose, CA
Active · expires Oct 9, 2026
CLIA Number05D2270140
Laboratory TypePharmacy
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorAnh T. Le
Laboratory Phone(408) 274-5939
Laboratory LocationSafeway Pharmacy #30952980 E Capital Expressway, San Jose, CA 95148
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 7

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

Pharmacist
2980 E CAPITOL EXPY
SAN JOSE, CA 95148
Pharmacist
2980 E CAPITOL EXPY
SAN JOSE, CA 95148
Pharmacist
2980 E CAPITOL EXPY
SAN JOSE, CA 95148
Pharmacist
2980 E CAPITOL EXPY
SAN JOSE, CA 95148
Pharmacist
2980 E CAPITOL EXPY
SAN JOSE, CA 95148
Pharmacist
2980 E CAPITOL EXPY
SAN JOSE, CA 95148
Pharmacy (Community/Retail Pharmacy)
2980 E CAPITOL EXPY
SAN JOSE, CA 95148

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619372646, enumerated as an "organization" on November 04, 2014.

The provider is located at 2980 E CAPITOL EXPY SAN JOSE, CA 95148 and the phone number is (408) 274-5939.

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.