SAFEWAY PHARMACY #2781
NPI 1083049688
Pharmacy - Community/Retail Pharmacy in Silver Spring, MD

Q: What is Nai Saturn Eastern LLC's NPI number?

The NPI number for Nai Saturn Eastern LLC is 1083049688. It was assigned to this organization in the NPPES registry on September 13, 2013. The provider is doing business as Safeway Pharmacy #2781.

Q: What is Nai Saturn Eastern LLC's specialty?

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

Active since September 13, 2013CLIA 21D2081858 · Waiver

11201 GEORGIA AVE, SILVER SPRING, MD 20902(301) 933-4684(301) 933-8953 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 8, 2019, Sep 27, 2018 (2 updates tracked since 2018).

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About Safeway Pharmacy #2781 NPPES

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

SAFEWAY PHARMACY #2781 (NPI 1083049688) is a healthcare organization registered as a community/retail pharmacy in Silver Spring, Maryland and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through July 30, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1083049688

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameNAI SATURN EASTERN LLC

Location Address11201 GEORGIA AVESilver Spring, MD 20902-4617

Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940

Phone(301) 933-4684

Fax(301) 933-8953

Organization SubpartNo

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

Enumeration DateSeptember 13, 2013

Last NPPES UpdateJanuary 8, 20192 updates tracked since enumeration

✔ NPI 1083049688 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 MD · P06635

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

11201 GEORGIA AVE, Silver Spring, MD 20902

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Other Names 1

Doing Business AsSafeway Pharmacy #2781

Other Identifiers 2

Other2150018Pk

Medicaid621015500MD

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Safeway Pharmacy #2781 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMarylandEnrollment IDO20150423002062DME · PharmacyDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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 21D2081858

Safeway Pharmacy #2781 · Wheaton, MD

Active · expires Jul 30, 2028

CLIA Number21D2081858

Laboratory TypePharmacy

Certificate Effective DateJuly 31, 2026

Certificate Expiration DateJuly 30, 2028

Laboratory DirectorAkash Patel

Laboratory Phone(301) 933-4684

Laboratory LocationSafeway Pharmacy #278111201 Georgia Ave, Wheaton, MD 20902

CLIA data matches this NPI record on: Name Phone

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

Other Providers at the Same Location NPPES 3

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

HOLLY VERBRUGGE PHARMD

Pharmacist

11201 GEORGIA AVE
WHEATON, MD 20902

Montgomery County (301) 933-4684

JACKSON ZHENG

Pharmacist

11201 GEORGIA AVE
SILVER SPRING, MD 20902

Montgomery County (301) 933-4684

NAI SATURN EASTERN LLC

Pharmacy (Community/Retail Pharmacy)

11201 GEORGIA AVE
SILVER SPRING, MD 20902

Montgomery County (301) 933-8953

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 Nai Saturn Eastern LLC's NPI number?

The NPI number for Nai Saturn Eastern LLC is 1083049688. It was assigned to this organization in the NPPES registry on September 13, 2013. The provider is doing business as Safeway Pharmacy #2781.

Where is Nai Saturn Eastern LLC located?

Nai Saturn Eastern LLC is located at 11201 Georgia Ave, Silver Spring, MD 20902. The listed phone number is (301) 933-4684.

What is Nai Saturn Eastern LLC's specialty?

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

Is Nai Saturn Eastern LLC enrolled in Medicare?

Yes. Nai Saturn Eastern LLC is registered in the Medicare PECOS enrollment system.

When is Nai Saturn Eastern LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Maryland, Pharmacy) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Nai Saturn Eastern LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2081858) is associated with this NPI, valid through July 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nai Saturn Eastern LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 36 other insurers list Nai Saturn Eastern LLC 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 Nai Saturn Eastern LLC was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.