SAFEWAY PHARMACY #1192
NPI 1861438459
Pharmacy - Community/Retail Pharmacy in Concord, CA

Active since June 21, 2006CLIA 05D2060256 · Waiver
4309 CLAYTON RD, CONCORD, CA 94521(925) 356-2712(925) 356-2722 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2020, Oct 22, 2018, Jul 19, 2018 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #1192 NPPES

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

SAFEWAY PHARMACY #1192 (NPI 1861438459) is a healthcare organization registered as a community/retail pharmacy in Concord, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1861438459
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address4309 CLAYTON RDConcord, CA 94521-2842
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Fax(925) 356-2722
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJune 21, 2006
Last NPPES UpdateApril 14, 20204 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
NPI 1861438459 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 · PHY52248
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
4309 CLAYTON RD, Concord, CA 94521

Other Names 1

Doing Business AsSafeway Pharmacy #1192

Other Identifiers 2

Medicaid1861438459CA
Other2000617Pk

Accepted 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 05D2060256

Safeway Pharmacy # 1192 · Concord, CA
Active · expires Jun 9, 2027
CLIA Number05D2060256
Laboratory TypePharmacy
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorAjni George
Laboratory Phone(925) 356-2712
Laboratory LocationSafeway Pharmacy # 11924309 Clayton Rd., Concord, CA 94521
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

The provider carries the following medical supplies product categories:

PTAN
20464991
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • 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
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles

Other Providers at the Same Location NPPES 4

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

Pharmacist
4309 CLAYTON RD
CONCORD, CA 94521
Pharmacist
4309 CLAYTON RD
CONCORD, CA 94521
Pharmacist
4309 CLAYTON RD
CONCORD, CA 94521
Pharmacist
4309 CLAYTON RD
CONCORD, CA 94521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861438459, enumerated as an "organization" on June 21, 2006.

The provider is located at 4309 CLAYTON RD CONCORD, CA 94521 and the phone number is (925) 356-2712.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arizona. Please consult your insurance carrier or call the provider to verify.