# 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 \#1529
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942239983
- **Authorized official:** SUNNY YOST CPHT (MANAGED CARE PLAN SPECIALIST)
- **Authorized official phone:** (925) 467-2806

## Contact information

- **Practice address:** 15099 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-2830
- **Practice address phone:** (503) 652-5629
- **Practice address fax:** (503) 654-8751
- **Mailing address:** 5918 STONERIDGE MALL RD, PLEASANTON, CA 94588-3229
- **Mailing address phone:** (925) 467-2811
- **Mailing address fax:** (925) 467-2802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | RP-0000227 | OR | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 06/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 134341 | — | OR |
| 01 | — | 3812270 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |