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SAFEWAY PHARMACY #0494
NPI 1003842881
Pharmacy - Community/Retail Pharmacy in Enumclaw, WA

Active since June 24, 2006CLIA Certified · 2 labs
152 ROOSEVELT AVE, ENUMCLAW, WA 98022(360) 802-1534(360) 802-5251 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2020, Oct 2, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #0494 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAFEWAY PHARMACY #0494 (NPI 1003842881) is a healthcare organization registered as a community/retail pharmacy in Enumclaw, Washington and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1003842881
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address152 ROOSEVELT AVEEnumclaw, WA 98022-8246
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Phone(360) 802-1534
Fax(360) 802-5251
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJune 24, 2006
Last NPPES UpdateMarch 13, 20203 updates tracked since enumeration
NPPES CertifiedMarch 13, 2020
✔ NPI 1003842881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WA · PHAR.CF.60515595
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
152 ROOSEVELT AVE, Enumclaw, WA 98022
Open in Google Maps ↗

Other Names 1

Doing Business AsSafeway Pharmacy #0494

Other Identifiers 2

Other2110446Pk
Medicaid6020655WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 49

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2010723

Safeway Pharmacy #0494 · Enumclaw, WA
Active · expires Apr 4, 2028
CLIA Number50D2010723
Laboratory TypePharmacy
Certificate Effective DateMay 7, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan Tegart
Laboratory Phone(360) 802-1534
Laboratory LocationSafeway Pharmacy #0494152 Roosevelt Ave, Enumclaw, WA 98022
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2115789

Safeway Pharmacy #3274 · Hyattsville, MD
Active · expires Jul 12, 2028
CLIA Number21D2115789
Laboratory TypePharmacy
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorKrista Hein
Laboratory Phone(208) 395-3963
Laboratory LocationSafeway Pharmacy #32743702 East-West Highway, Hyattsville, MD 20782
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2081900

Safeway Pharmacy #1553 · Columbia, MD
Expired · Aug 3, 2026
CLIA Number21D2081900
Laboratory TypePharmacy
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorKrista Hein
Laboratory Phone(208) 395-3963
Laboratory LocationSafeway Pharmacy #15535485A Harpers Farm Rd, Columbia, MD 21044
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2081901

Safeway Pharmacy #1513 · Baltimore, MD
Expired · Aug 3, 2026
CLIA Number21D2081901
Laboratory TypePharmacy
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorKrista Hein
Laboratory Phone(208) 395-3963
Laboratory LocationSafeway Pharmacy #15134401 Harford Rd, Baltimore, MD 21214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2081902

Safeway Pharmacy #0105 · Waldorf, MD
Expired · Aug 3, 2026
CLIA Number21D2081902
Laboratory TypePharmacy
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorKrista Hein
Laboratory Phone(208) 395-3963
Laboratory LocationSafeway Pharmacy #010510 King Street, Waldorf, MD 20602
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2081904

Safeway Pharmacy #2853 · Brandywine, MD
Expired · Aug 3, 2026
CLIA Number21D2081904
Laboratory TypePharmacy
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorKrista Hein
Laboratory Phone(208) 395-3963
Laboratory LocationSafeway Pharmacy #285315916 Crain Hwy SE, Brandywine, MD 20613
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Safeway Pharmacy #0494 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #0494

DMEPOS supplier · Enumclaw, WAOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #0494 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20465057
Medicare Participant SinceJanuary 1, 2017
Supplier Location152 Roosevelt AveEnumclaw, WA 98022
Phone(360) 802-1534
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTH MCCOY RPH
Pharmacist
152 ROOSEVELT AVE
ENUMCLAW, WA 98022
King County (360) 802-1534
DR. DANIEL CHO PHARM D
Pharmacist
152 ROOSEVELT AVE
ENUMCLAW, WA 98022
King County (360) 802-1534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Safeway Inc's NPI number?

The NPI number for Safeway Inc is 1003842881. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as Safeway Pharmacy #0494.

Where is Safeway Inc located?

Safeway Inc is located at 152 Roosevelt Ave, Enumclaw, WA 98022. The listed phone number is (360) 802-1534.

What is Safeway Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Safeway Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Safeway Pharmacy #0494 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Safeway Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Safeway Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 41 other insurers list Safeway Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Safeway Inc was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.