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SAFEWAY PHARMACY #2718
NPI 1790711570
Pharmacy - Community/Retail Pharmacy in Mill Valley, CA

Active since June 24, 2006CLIA 05D2060260 · Waiver
110 STRAWBERRY VILLAGE BLVD, BLDG 100, MILL VALLEY, CA 94941(415) 360-9020(415) 360-9021 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2018, Dec 21, 2016, Oct 12, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #2718 NPPES

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

SAFEWAY PHARMACY #2718 (NPI 1790711570) is a healthcare organization registered as a community/retail pharmacy in Mill Valley, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1790711570
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address110 STRAWBERRY VILLAGE BLVD, BLDG 100Mill Valley, CA 94941
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83712-3940 · (208) 395-6200 · Fax (623) 336-6896
Phone(415) 360-9020
Fax(415) 360-9021
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJune 24, 2006
Last NPPES UpdateOctober 4, 20183 updates tracked since enumeration
✔ NPI 1790711570 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 · PHY52317
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
110 STRAWBERRY VILLAGE BLVD, Mill Valley, CA 94941
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Other Names 1

Doing Business AsSafeway Pharmacy #2718

Other Identifiers 2

Medicaid1790711570CA
Other1994154Pk

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 05D2060260

Safeway Pharmacy #2718 · Mill Valley, CA
Active · expires Jun 9, 2027
CLIA Number05D2060260
Laboratory TypePharmacy
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorSang Min Kim
Laboratory Phone(415) 360-9020
Laboratory LocationSafeway Pharmacy #2718800 Redwood Hwy Frontage Rd #110, Mill Valley, CA 94941
CLIA data matches this NPI record on: 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 1790711570. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as Safeway Pharmacy #2718.

Where is Safeway Inc located?

Safeway Inc is located at 110 Strawberry Village Blvd Bldg 100, Mill Valley, CA 94941. The listed phone number is (415) 360-9020.

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 05D2060260) is associated with this NPI, valid through June 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 October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.