# SAFEWAY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SAFEWAY PHARMACY \#1209
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033155817
- **Authorized official:** KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
- **Authorized official phone:** (208) 395-3954

## Contact information

- **Practice address:** 831 KUHIO HWY, KAPAA, HI 96746
- **Practice address phone:** (808) 822-2191
- **Practice address fax:** (808) 822-9225
- **Mailing address:** 250 E PARKCENTER BLVD, BOISE, ID 83706-3940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY-868 | HI | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 04/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 08441301 | — | HI |
| 01 | — | 2018192 | PK | — |