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

Safeway Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1417986431

Safeway Inc is a Durable Medical Equipment & Medical Supplies in Santa Rosa, 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

100 Calistoga Rd
Santa Rosa, CA 95409-3702
Phone: (707) 539-2129
Fax: (707) 539-2205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY52095 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1417986431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Giannakopoulos — Enrollments Manager · (208) 395-3954
Other names Safeway Pharmacy #0713; Safeway Pharmacy #0713
NPI enumeratedJuly 2, 2006
Last updated in NPPESApril 1, 2020
Certification dateApril 1, 2020
Mailing address250 E Parkcenter Blvd, Boise, ID 83706-3940

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