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 1639115249

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

2300 Mendocino Ave
Santa Rosa, CA 95403-3115
Phone: (707) 569-3111
Fax: (707) 569-3115
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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 PHY52321 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1639115249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Eliopulos — Assistant Manager, Enrollments · (208) 395-3906
Other names Safeway Pharmacy #1576; Safeway Pharmacy #1576
NPI enumeratedJune 21, 2006
Last updated in NPPESOctober 29, 2018
Mailing address250 E Parkcenter Blvd, Mailstop Sec2-B, Boise, ID 83712-3940

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