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	P02030	MD
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2121274	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1932145562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFEWAY INC

Provider Business Mailing Address
First Line	:	20427 N 27TH AVE # MSC4551
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-3241
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2346 IVERSON ST
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-6801
Country	:	US
Telephone Number	:	301-423-0462
Fax Number	:	301-423-5149

Authorized Official
Title or Position	:	MANAGED CARE PLAN SPECIALIST
Name	:	DEMOND T HAWKINS
Credential	:	CPHT
Telephone Number	:	623-869-3524

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	12/16/2008

Similar Medicare Providers

1275833766 — DR. ULOMA NATHAN-IGWE PHARM.D
Practice Location Address:

2346 IVERSON ST
TEMPLE HILLS, MD
20748-6801

Practice Phone: 301-423-0462
Practice Fax: 301-423-5149

1043511033 — DR. TANIKA GRAVES ROWE
Practice Location Address:

2346 IVERSON ST
TEMPLE HILLS, MD
20748-6801

Practice Phone: 301-423-0462
Practice Fax: 301-423-5149

1285175208 — LUCIA FORBIN NP-C
Practice Location Address:

2320 IVERSON ST STE 100
TEMPLE HILLS, MD
20748-6801

Practice Phone: 848-256-0360
Practice Fax:

1710497516 — EZIACESS NP HOUSECALLS LLC
Practice Location Address:

2320 IVERSON ST STE 100
TEMPLE HILLS, MD
20748-6801

Practice Phone: 848-256-0360
Practice Fax:

1831786904 — RITETIME PHARMACY/CLINIC,LLC
Practice Location Address:

2320 IVERSON ST
TEMPLE HILLS, MD
20748-6801

Practice Phone: 301-520-3239
Practice Fax:

1649996844 — COMPASSIONATE ANGELS HEALTHCARE LLC
Practice Location Address:

2320 IVERSON ST STE 200
TEMPLE HILLS, MD
20748-6801

Practice Phone: 240-788-7439
Practice Fax: 240-619-2862

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.