SAFEWAY PHARMACY #1929 (SAFEWAY INC) NPI 1639227283

Pharmacy (Community/Retail Pharmacy) in Soquel, CA

NPI 1639227283 Organization Pharmacy Community/Retail Pharmacy Medicare Supplier Does Not Accept Medicare Approved Payment CLIA Number 05D2093285 CLIA Certificate of Waiver

About SAFEWAY PHARMACY #1929 (SAFEWAY INC)

Safeway Pharmacy #1929 (safeway Inc) is a provider established in Soquel, California specializing in pharmacy (community/retail pharmacy) . The NPI number of Safeway Pharmacy #1929 (safeway Inc) is 1639227283 and was assigned on January 2007. The practitioner's primary taxonomy code is 3336C0003X with license number PHY52366 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Safeway Pharmacy #1929. The authorized official of this NPI record is Kathy Giannakopoulos (Enrollments Manager)

Safeway Pharmacy #1929 is a medicare supplier with PTAN 0237520819 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: Oral Antiemetic Drugs or Epoetin or Orthoses: Off-The-Shelf or Diabetic Shoes and Inserts or Surgical Dressings or Nebulizer Drugs or Immunosuppressive Drugs or Ostomy Supplies or Oral Anticancer Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Urological Supplies.

The CLIA number of Safeway Pharmacy #1929 is 05D2093285 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Safeway Pharmacy #1929 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1639227283

Provider NameSAFEWAY PHARMACY #1929 (SAFEWAY INC)
Provider Location Address2720 41ST AVE SOQUEL, CA 95073
Provider Mailing Address250 E PARKCENTER BLVD BOISE, ID 83706
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSAFEWAY PHARMACY #1929
Other Name TypeDoing Business As (3)
Enumeration Date01-08-2007
Last Update Date09-12-2019


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.PHY52366
License StateCA
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

SAFEWAY PHARMACY #1929
2720 41ST AVE
SOQUEL, CA
ZIP 95073
Phone: (831) 477-7217
Fax: (831) 477-7221

Get Directions


Mailing Address

SAFEWAY PHARMACY #1929
250 E PARKCENTER BLVD
BOISE, ID
ZIP 83706
Phone:



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:

PTAN0237520819
Accepts Medicare AssignmentNO
Specialities ListGrocery Store, Pharmacy.
Supplies List
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Oral Anticancer Drugs - FDA anticancer 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
  • Urological Supplies - Catheters, Urinary collection devices
Competitive BiddingNO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1639227283 is:

CLIA Number05D2093285
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

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.

2333600000XSuppliersPharmacyNo

Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
2115284OTHER (01)
1639227283MEDICAID (05)CA

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427358191MR. DANIEL LEE HASTINGS JR. B.S.
Individual
Pharmacist2720 41ST AVE
SOQUEL, CA 95073
(831) 477-7217
1841736220 CHIRAG PANCHOLI PHARM.D
Individual
Pharmacist2720 41ST AVE
SOQUEL, CA 95073
(831) 477-7217
1477072932 HOA THI VO PHARMD
Individual
Pharmacist2720 41ST AVE
SOQUEL, CA 95073
(831) 477-7217

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.