Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Safeway Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1093744039

Safeway Inc is a Durable Medical Equipment & Medical Supplies in Jackson, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12110 Industry Blvd
Jackson, CA 95642-9373
Phone: (209) 257-0786
Fax: (209) 257-0790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY52228 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1093744039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Giannakopoulos — Enrollments Manager · (208) 395-3954
Other names Safeway Pharmacy #2778; Safeway Pharmacy #2778
NPI enumeratedJuly 2, 2006
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020
Mailing address250 E Parkcenter Blvd, Boise, ID 83706-3940

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