MEDICARE: SAFEWAY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	54013013	IL
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1460764	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1528097599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFEWAY INC

Provider Business Mailing Address
First Line	:	20427 N 27TH AVE MSC 4501
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-3241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7401 W 25TH ST
Second Line	:
City	:	NORTH RIVERSIDE
State	:	IL
Zip	:	60546-1424
Country	:	US
Telephone Number	:	708-442-7990
Fax Number	:	708-442-3377

Authorized Official
Title or Position	:	MANAGED CARE ANALYST
Name	:	PATRICK HARRIS
Credential	:	CPHT MBA
Telephone Number	:	623-869-3778

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1306334057 — ASSISTIVE HEALTH SYSTEMS, INC.
Practice Location Address:

1424 UNIVERSITY AVE STE B
RIVERSIDE, CA
92507-4401

Practice Phone: 858-900-6693
Practice Fax: 951-900-6169

1700431392 — ASSISTIVE HEALTH SYSTEMS, INC.
Practice Location Address:

1424 UNIVERSITY AVE STE A
RIVERSIDE, CA
92507-4401

Practice Phone: 858-900-6693
Practice Fax: 951-900-6169

1912908294 — HEATHER ANNE MORPHY M.D.
Practice Location Address:

EVERETT-NORTH CLINIC , 1424 BROADWAY
EVERETT, WA
98201

Practice Phone: 425-789-2000
Practice Fax: 425-789-2096

1649248683 — DR. KENT E. NABERS PHD.
Practice Location Address:

265 NORTH MAIN STREET , SUITE D #137
KAYSVILLE, UT
84037-1424

Practice Phone: 801-476-6916
Practice Fax: 801-476-6990

1003879230 — DR. RANJIT R. SINGH M.D.
Practice Location Address:

3030 NORTH ST , STE 500
BEAUMONT, TX
77702-1424

Practice Phone: 409-833-5262
Practice Fax:

1194782920 — KRISTIN L HETER
Practice Location Address:

1424 HIGHWAY 17 N STE 2
NORTH MYRTLE BEACH, SC
29582-2507

Practice Phone: 843-427-7132
Practice Fax: 843-427-7154

Directions to “SAFEWAY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.