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SAFEWAY PHARMACY #1504
NPI 1790716504
Pharmacy - Community/Retail Pharmacy in Bend, OR

Active since July 06, 2006CLIA 38D2274190 · Waiver
2650 NE HIGHWAY 20, BEND, OR 97701(541) 383-6509(541) 383-6513 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2020, Oct 29, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #1504 NPPES

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

SAFEWAY PHARMACY #1504 (NPI 1790716504) is a healthcare organization registered as a community/retail pharmacy in Bend, Oregon and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1790716504
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address2650 NE HIGHWAY 20Bend, OR 97701-6976
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(541) 383-6509
Fax(541) 383-6513
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 22, 20203 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1790716504 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 OR · 0001462
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
2650 NE HIGHWAY 20, Bend, OR 97701
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Other Names 1

Doing Business AsSafeway Pharmacy #1504

Other Identifiers 3

Other2078473Pk
Medicaid269278OR
Medicaid133632OR

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 38D2274190

Safeway Pharmacy #1504 · Bend, OR
Active · expires Dec 27, 2026
CLIA Number38D2274190
Laboratory TypePharmacy
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorSamantha K. Ehrenfelt
Laboratory Phone(541) 383-6509
Laboratory LocationSafeway Pharmacy #15042650 NE Hwy 20, Bend, OR 97701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Safeway Pharmacy #1504 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1504

DMEPOS supplier · Bend, OROperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #1504 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20465147
Medicare Participant SinceJanuary 1, 2017
Supplier Location2650 NE Highway 20Bend, OR 97702
Phone(541) 383-6509
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic 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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

JOHN E. MERRICK RPH
Pharmacist
2650 NE HIGHWAY 20
BEND, OR 97701
Deschutes County (541) 383-6510
DR. CAMBRIA NIELE GILSDORF PHARMD
Pharmacist
2650 NE HIGHWAY 20
BEND, OR 97701
Deschutes County (541) 383-6509
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
2650 NE HIGHWAY 20
BEND, OR 97701
Deschutes County (541) 383-6509

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 1790716504. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Safeway Pharmacy #1504.

Where is Safeway Inc located?

Safeway Inc is located at 2650 NE Highway 20, Bend, OR 97701. The listed phone number is (541) 383-6509.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Safeway Pharmacy #1504 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Safeway Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2274190) is associated with this NPI, valid through December 27, 2026. 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.