SAFEWAY PHARMACY #3410
NPI 1003845041
Pharmacy - Community/Retail Pharmacy in Fairbanks, AK

Q: What is Safeway Inc's NPI number?

The NPI number for Safeway Inc is 1003845041. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #3410.

Q: What is Safeway Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Safeway Inc was last updated on October 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 02, 2006CLIA 02D2010295 · Waiver

30 COLLEGE RD, FAIRBANKS, AK 99701(907) 374-4160(907) 374-4119 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2018, Jul 19, 2018, Dec 21, 2016 (3 updates tracked since 2016).

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About Safeway Pharmacy #3410 NPPES

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

SAFEWAY PHARMACY #3410 (NPI 1003845041) is a healthcare organization registered as a community/retail pharmacy in Fairbanks, Alaska and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1003845041

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSAFEWAY INC

Location Address30 COLLEGE RDFairbanks, AK 99701-1706

Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83712-3940 · (208) 395-6200 · Fax (623) 336-6896

Phone(907) 374-4160

Fax(907) 374-4119

Organization SubpartNo

Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906

Enumeration DateJuly 2, 2006

Last NPPES UpdateOctober 4, 20183 updates tracked since enumeration

✔ NPI 1003845041 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 AK · 110067

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

30 COLLEGE RD, Fairbanks, AK 99701

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Other Names 1

Doing Business AsSafeway Pharmacy #3410

Other Identifiers 3

Medicaid1028581AK

Medicaid1603176AK

Other1996982Pk

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

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 02D2010295

Safeway Pharmacy #3410 · Fairbanks, AK

Active · expires Jul 22, 2028

CLIA Number02D2010295

Laboratory TypePharmacy

Certificate Effective DateJuly 23, 2026

Certificate Expiration DateJuly 22, 2028

Laboratory DirectorRutul Rabari

Laboratory Phone(907) 374-4160

Laboratory LocationSafeway Pharmacy #341030 College Road, Fairbanks, AK 99701

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Safeway Pharmacy #3410 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #3410

DMEPOS supplier · Fairbanks, AKOperated by Safeway Inc

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Does not accept Medicare assignment

Safeway Pharmacy #3410 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)20465219

Medicare Participant SinceJanuary 1, 2017

Supplier Location30 College RdFairbanks, AK 99701

Phone(907) 374-4160

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 7

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

CARMELLA RIVAS PHARMD

Pharmacist