Safeway Pharmacy
Safeway Pharmacy is a healthcare organization registered as Pharmacy in Clackamas, OR, holding Type 2 (organization) NPI 1174079123 since 2016. The authorized official on file is Jordyn Nelson, Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174079123 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Safeway Pharmacy |
| Practice address | 16300 SE EVELYN ST, Clackamas, OR, 97015 |
| Phone | 5034514009 |
| Enumeration date | 2016-08-30 |
| Last updated in NPPES | 2016-08-30 |
Authorized official
| Name | Jordyn Nelson |
|---|---|
| Title | Pharmacist |
| Phone | 3603930912 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Primary | RPH-0015402 | OR |
Copy-ready billing details
Provider: Safeway Pharmacy NPI: 1174079123 Taxonomy: 333600000X (Pharmacy) Address: 16300 SE EVELYN ST, Clackamas, OR, 97015
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1992989974 | Kenneth Wells | Individual | Pharmacist | Clackamas, OR |
| 1356570618 | Fariba Monfared | Individual | Pharmacist | Clackamas, OR |
| 1083915102 | Susan Gohlke | Individual | Pharmacist | Clackamas, OR |
| 1932400082 | Shanna Reding | Individual | Pharmacist | Clackamas, OR |
| 1609177377 | Tristen Vu | Individual | Pharmacist | Clackamas, OR |
| 1053613679 | Vera Engelen | Individual | Pharmacist | Clackamas, OR |
| 1134423148 | Quyen Pham | Individual | Pharmacist | Clackamas, OR |
| 1962709915 | Jack Hansen | Individual | Pharmacist | Clackamas, OR |
Verify this record
Cross-check NPI 1174079123 against the authoritative CMS record: view Safeway Pharmacy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Safeway Pharmacy?
What is the NPI number for Safeway Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-08-30.