Skip to content

Safeway Pharmacy

NPI 1174079123ActiveOrganization· Pharmacy· Clackamas, OR

Pharmacy in Clackamas, Oregon, registered in NPPES in August 2016. The authorized official on file is Jordyn Nelson, PHARMD, Pharmacist.

Overview

NPI1174079123
StatusActive
Entity typeOrganization
NPI issuedAug 30, 2016
Last updated in NPPESAug 30, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000XRPH-0015402OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in Clackamas

All Pharmacy providers in Oregon →