1. Home
  2. Directory
  3. Colorado
  4. Monument
  5. Pharmacy
  6. NPI Profile

SAFEWAY PHARMACY #1440
NPI 1649209602
Pharmacy - Community/Retail Pharmacy in Monument, CO

Active since July 02, 2006CLIA 06D2075310 · Waiver
624 W HIGHWAY 105, MONUMENT, CO 80132(719) 488-1189(719) 488-1872 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2020, Oct 26, 2018, Jul 19, 2018 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #1440 NPPES

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

SAFEWAY PHARMACY #1440 (NPI 1649209602) is a healthcare organization registered as a community/retail pharmacy in Monument, Colorado and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 9, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1649209602
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address624 W HIGHWAY 105Monument, CO 80132-9169
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-6200 · Fax (623) 336-6896
Phone(719) 488-1189
Fax(719) 488-1872
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 22, 20204 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1649209602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CO · PDO.1360000002
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
624 W HIGHWAY 105, Monument, CO 80132
Open in Google Maps ↗

Other Names 1

Doing Business AsSafeway Pharmacy #1440

Other Identifiers 2

Medicaid03001922CO
Other2002162Pk

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 06D2075310

Safeway Pharmacy #1440 · Monument, CO
Active · expires Nov 9, 2027
CLIA Number06D2075310
Laboratory TypePharmacy
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorBrett Wooten
Laboratory Phone(719) 488-1189
Laboratory LocationSafeway Pharmacy #1440624 Hwy 105, Monument, CO 80132
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 2

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

1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
624 W HIGHWAY 105
MONUMENT, CO 80132
El Paso County (719) 488-1189
JENNIFER ANN MENDENHALL PHARMD
Pharmacist
624 W HIGHWAY 105
MONUMENT, CO 80132
El Paso County (719) 488-1189

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 1649209602. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #1440.

Where is Safeway Inc located?

Safeway Inc is located at 624 W Highway 105, Monument, CO 80132. The listed phone number is (719) 488-1189.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2075310) is associated with this NPI, valid through November 9, 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 22, 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.