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SAFEWAY PHARMACY #3134
NPI 1902835937
Pharmacy - Community/Retail Pharmacy in Portland, OR

Active since July 02, 2006CLIA 38D2083555 · Waiver
2800 SE HAWTHORNE BLVD, PORTLAND, OR 97214(503) 232-3930(503) 232-3715 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 8, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #3134 NPPES

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

SAFEWAY PHARMACY #3134 (NPI 1902835937) is a healthcare organization registered as a community/retail pharmacy in Portland, Oregon and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1902835937
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address2800 SE HAWTHORNE BLVDPortland, OR 97214-2945
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(503) 232-3930
Fax(503) 232-3715
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 22, 20203 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1902835937 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 · RP-0002692-CS
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
2800 SE HAWTHORNE BLVD, Portland, OR 97214
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Other Names 1

Doing Business AsSafeway Pharmacy #3134

Other Identifiers 2

Medicaid100370OR
Other2077949Pk

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 38D2083555

Safeway Pharmacy #3134 · Portland, OR
Active · expires Dec 26, 2026
CLIA Number38D2083555
Laboratory TypePharmacy
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorAnsley B. Fancher
Laboratory Phone(503) 232-3930
Laboratory LocationSafeway Pharmacy #31342800 SE Hawthorne Blvd, Portland, OR 97214
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 11

Medicare supplier enrollment and the product categories Safeway Pharmacy #3134 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #3134

DMEPOS supplier · Portland, OROperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #3134 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)20467877
Medicare Participant SinceJanuary 1, 2017
Supplier Location2800 SE Hawthorne BlvdPortland, OR 97214
Phone(503) 232-3930
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
Infusion Drugs
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
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 5

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

DR. COURTNEY LYNN VANBRIESEN PHARMD.
Pharmacist
2800 SE HAWTHORNE BLVD
PORTLAND, OR 97214
Multnomah County (503) 232-3930
MISS COURTNEY LEE LUCHAU R.PH.
Pharmacist
2800 SE HAWTHORNE BLVD
PORTLAND, OR 97214
Multnomah County (503) 232-3930
YUXIN LIN PHARMD
Pharmacist
2800 SE HAWTHORNE BLVD
PORTLAND, OR 97214
Multnomah County (503) 232-3930
SOPHIA ELIAS
Pharmacist
2800 SE HAWTHORNE BLVD
PORTLAND, OR 97214
Multnomah County (503) 232-3930
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
2800 SE HAWTHORNE BLVD
PORTLAND, OR 97214
Multnomah County (503) 232-3930

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 1902835937. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #3134.

Where is Safeway Inc located?

Safeway Inc is located at 2800 SE Hawthorne Blvd, Portland, OR 97214. The listed phone number is (503) 232-3930.

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 #3134 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 38D2083555) is associated with this NPI, valid through December 26, 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.