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SAFEWAY PHARMACY #0010
NPI 1730115510
Pharmacy - Community/Retail Pharmacy in Evergreen, CO

Active since June 24, 2006CLIA 06D2075279 · Waiver
3851 S HIGHWAY 74, EVERGREEN, CO 80439(303) 209-5274(303) 209-5275 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2020, Sep 27, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #0010 NPPES

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

SAFEWAY PHARMACY #0010 (NPI 1730115510) is a healthcare organization registered as a community/retail pharmacy in Evergreen, Colorado and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1730115510
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address3851 S HIGHWAY 74Evergreen, CO 80439
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Phone(303) 209-5274
Fax(303) 209-5275
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJune 24, 2006
Last NPPES UpdateMarch 9, 20203 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
✔ NPI 1730115510 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.0000000618
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
3851 S HIGHWAY 74, Evergreen, CO 80439
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Other Names 1

Doing Business AsSafeway Pharmacy #0010

Other Identifiers 2

Other2003828Pk
Medicaid97025330CO

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 06D2075279

Safeway Pharmacy #0010 · Evergreen, CO
Active · expires Nov 3, 2027
CLIA Number06D2075279
Laboratory TypePharmacy
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorKevin Hornbarger
Laboratory Phone(303) 209-5274
Laboratory LocationSafeway Pharmacy #00103851 S Highway 74, Evergreen, CO 80439
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1730115510. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as Safeway Pharmacy #0010.

Where is Safeway Inc located?

Safeway Inc is located at 3851 S Highway 74, Evergreen, CO 80439. The listed phone number is (303) 209-5274.

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 06D2075279) is associated with this NPI, valid through November 3, 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 March 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.