HAGGEN PHARMACY #3450 – NPI #1144675513
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

HAGGEN PHARMACY #3450 is a pharmacy located in MOUNT VERNON, WA. NPPES has assigned the NPI number 1144675513 to HAGGEN PHARMACY #3450 on May 04, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HAGGEN PHARMACY #3450” is a dba name, the actual legal business name for this organization is SAFEWAY INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 6 years ago on Apr 13, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HAGGEN PHARMACY #3450 below.

NPI Profile for
SAFEWAY INC

NPI Number
1144675513
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAFEWAY INC
Doing Business As (dba): HAGGEN PHARMACY #3450
Primary location
2601 E DIVISION ST
MOUNT VERNON, WA 98274-4748
Phone: (360) 848-6930 Fax: (360) 848-6948
Mailing address
250 E PARKCENTER BLVD
BOISE, ID 83706-3940
Phone: (208) 395-3906 Fax: (623) 336-6896
Organization Subpart
No
Authorized Official
KATHY GIANNAKOPOULOS
ENROLLMENTS MANAGER
Phone: (208) 395-3954
Updated
Certification Date
Apr 13, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HAGGEN PHARMACY #3450

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2159994
MEDICAIDWA2061305
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
WA PHAR.CF.60657790
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.