SAFEWAY PHARMACY #3189
NPI 1093744062
Pharmacy - Community/Retail Pharmacy in Holbrook, AZ

NPI Status: Active since July 02, 2006

Contact Information

702 W HOPI DR
HOLBROOK, AZ
ZIP 86025
Phone: (928) 524-2661
Fax: (928) 524-3123

Get Directions Reviews

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment
  • CLIA Number: 03D2073110
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 03-22-2026

About SAFEWAY PHARMACY #3189

Safeway Pharmacy #3189 is a provider established in Holbrook, Arizona operating as a Pharmacy with a focus in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1093744062 assigned on July 2006. The practitioner's primary taxonomy code is 3336C0003X with license number Y006146 (AZ). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Safeway Pharmacy #3189. The authorized official of this NPI record is Kathy Giannakopoulos (Enrollments Manager)

NPI
1093744062
Provider Legal Name
SAFEWAY INC
Other Organization Name
SAFEWAY PHARMACY #3189
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
702 W HOPI DR HOLBROOK, AZ 86025
Location Phone
(928) 524-2661
Location Fax
(928) 524-3123
Mailing Address
250 E PARKCENTER BLVD BOISE, ID 83706
Mailing Phone
(208) 395-3963
Mailing Fax
(928) 524-3123
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2006
Last Update Date
04-03-2020
Code Navigator



Safeway Pharmacy #3189 is a medicare supplier with PTAN 20465741 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Surgical Dressings or Infusion Drugs or Diabetic Shoes and Inserts or Ostomy Supplies or Nebulizer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Immunosuppressive Drugs or Oral Anticancer Drugs or Orthoses: Off-The-Shelf or Epoetin or Urological Supplies.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
Y006146
License State
AZ
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 1 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
    • Bronze 1: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Rx Copay - HMO
    • Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 - EPO
    • Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 - HMO
    • Bronze 2 HSA: Aetna network of doctors & hospitals + walk-in clinic + Virtual Care 24/7 - HMO
  • Ambetter from Arizona Complete Health

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
  • Ambetter from Louisiana Healthcare Connections

    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter from Magnolia Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA with Walgreens - HMO
    • Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
  • Ambetter from MHS

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Ambetter from Nebraska Total Care

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
  • Ambetter from NH Healthy Families

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
  • Ambetter from Sunflower Health Plan

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Ambetter from Sunshine Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Ambetter from Superior HealthPlan

    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
  • Ambetter Health of Delaware

    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Ambetter of Illinois

    • Central Bronze - HMO
    • Central Bronze + Vision + Adult Dental - HMO
    • Central Gold - HMO
    • Central Gold + Vision + Adult Dental - HMO
    • Central Silver - HMO
  • Avera Health Plans

    • Avera $1800 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $2000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $4000 Medical Deductible with $0 Rx Deductible - PPO
    • Avera $5200 HSA Eigible HDHP - PPO
    • Avera $5200 HSA Eligilble HDHP - PPO
  • AvMed

    • AvMed Entrust Bronze 600 (2024) - HMO
    • AvMed Entrust Bronze 625 Dental+Vision (2024) - HMO
    • AvMed Entrust Bronze 650 (2024) - HMO
    • AvMed Entrust Expanded Bronze Standard (2024) - HMO
    • AvMed Entrust Gold 125 (2024) - HMO
  • BannerAetna

    • BannerAetna Bronze 2 HSA: No PCP required + MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Bronze 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Bronze S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold 3: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
    • BannerAetna Gold 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
  • Baylor Scott and White Health Plan

    • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
    • BSW Elite Gold HMO 012 ($0 PCP unlimited visits) - HMO
    • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • Blue Cross and Blue Shield of Alabama

    • Blue HSA Bronze - PPO
    • Blue Protect - PPO
    • Blue Saver Bronze - PPO
    • Blue Value Gold - PPO
    • Blue Value Silver - PPO
  • Blue Cross and Blue Shield of Illinois

    • Blue Choice Preferred Bronze PPO℠ 201 - PPO
    • Blue Choice Preferred Bronze PPO℠ 202 - PPO
    • Blue Choice Preferred Bronze PPO℠ 601 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 701 - Rx Copays - PPO
    • Blue Choice Preferred Bronze PPO℠ 708 - PPO
  • Blue Cross and Blue Shield of Kansas City

    • Blue KC Catastrophic BlueSelect EPO - EPO
    • Blue KC Choice Bronze 1 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Bronze BlueSelect Plus EPO with Spira Care - EPO
    • Blue KC Choice Silver 1 BlueSelect EPO with Spira Care - EPO
  • Blue Cross and Blue Shield of Montana

    • Blue Focus Bronze POS℠ 205 - POS
    • Blue Focus Bronze POS℠ 705 - POS
    • Blue Focus Bronze POS℠ 708 - POS
    • Blue Focus Gold POS℠ 207 - POS
    • Blue Focus Gold POS℠ 707 - POS
  • Blue Cross and Blue Shield of Nebraska

    • HeartlandBlue Bronze 0% Coinsurance After Deductible 9450 NEtwork Blue - EPO
    • HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
    • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
    • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
    • HeartlandBlue Bronze Standard Copay 7500 Blueprint Health - EPO
  • Blue Cross and Blue Shield of Oklahoma

    • Blue Advantage Bronze PPO℠ 801 - PPO
    • Blue Advantage Bronze PPO℠ 202 - PPO
    • Blue Advantage Bronze PPO℠ 203 - PPO
    • Blue Advantage Gold PPO℠ 309 - PPO
    • Blue Advantage Gold PPO℠ 604 - PPO
  • Blue Cross and Blue Shield of Texas

    • Blue Advantage Bronze HMO℠ 204 - HMO
    • Blue Advantage Bronze HMO℠ 301 - HMO
    • Blue Advantage Bronze HMO℠ 302 - HMO
    • Blue Advantage Bronze HMO℠ 707 - HMO
    • Blue Advantage Gold HMO℠ 206 - HMO
  • Blue Cross Blue Shield of Arizona

    • Blue ACA StandardHealth Silver with Health Choice - HMO
    • Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
    • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
    • Blue AdvanceHealth Bronze - PimaFocus Network - HMO
    • Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
  • Blue Cross Blue Shield of North Dakota

    • BlueCare Gold 70 - PPO
    • BlueCare Silver 60 - PPO
    • BlueDirect Bronze 100 - PPO
    • BlueDirect Gold 90 - PPO
    • BlueDirect Silver 80 - PPO
  • Blue Cross Blue Shield of Wyoming

    • BlueSelect Bronze Balance - PPO
    • BlueSelect Bronze Basic - PPO
    • BlueSelect Bronze Core - PPO
    • BlueSelect Bronze Value - PPO
    • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueCross BlueShield of Tennessee

    • BlueCross B07E HSA $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07E HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07L HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
  • Chorus Community Health Plans

    • Chorus Bronze HDHP - EPO
    • Chorus Catastrophic - EPO
    • Chorus Gold - EPO
    • Chorus Silver Select - EPO
  • CHRISTUS Health Plan

    • CHRISTUS Bronze - HMO
    • CHRISTUS Bronze Plus - HMO
    • CHRISTUS Catastrophic - HMO
    • CHRISTUS Gold - HMO
    • CHRISTUS Gold Plus - HMO
  • Cigna HealthCare of Arizona, Inc

    • Connect Bronze 0 Indiv Med Deductible - HMO
    • Connect Bronze 4500 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Bronze 6500 Indiv Med Deductible - HMO
    • Connect Bronze 8900 Indiv Med Deductible - HMO
    • Connect Bronze CMS Standard - HMO
  • Common Ground Healthcare Cooperative

    • CGHC Bronze $6000 - Envision Network - EPO
    • CGHC Bronze $6000 - Envision Network (Vision Exam) - EPO
    • CGHC Bronze $9450 ($35 PCP Copay) - Envision Network - EPO
    • CGHC Bronze $9450 ($35 PCP Copay) - Envision Network (Vision Exam) - EPO
    • CGHC Bronze Standard $7500 - Envision Network - EPO
  • Florida Blue (BlueCross BlueShield FL)

    • BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) - PPO
    • BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) - PPO
    • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) - PPO
  • Florida Blue HMO (a BlueCross BlueShield FL company)

    • BlueCare Bronze (HSA) 24K01-09 (Rewards $$$ / $4 Condition Care Rx) - POS
    • BlueCare Bronze 24K01-03 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) - POS
    • BlueCare Bronze 24K01-05 ($0 Virtual Visits / Rewards $$$) - POS
    • BlueCare Bronze 24K01-25 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) - POS
    • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards $$$) - POS
  • HealthPartners

    • Atlas $1,000 w/Copay P-S Gold - PPO
    • Atlas $1,500 w/Copay P-S Gold - PPO
    • Atlas $3,000 w/Copay P-S Silver - PPO
    • Atlas $3,200 Plus Silver - PPO
    • Atlas $3,800 HSA Silver - PPO
  • Highmark Blue Cross Blue Shield Delaware

    • my Blue Access Major Events PPO Catastrophic 9450 - 3 Free PCP Visits - PPO
    • my Blue Access PPO Bronze 3800 - PPO
    • my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
    • my Blue Access PPO Bronze 7100 HSA - Custom Drug Benefit - PPO
    • my Blue Access PPO Bronze 8900 - PPO
  • Highmark Blue Cross Blue Shield West Virginia

    • my Blue Access WV Major Events PPO Catastrophic 9450 - 3 Free PCP Visits - PPO
    • my Blue Access WV PPO Bronze 3800 - PPO
    • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
    • my Blue Access WV PPO Bronze 7100 HSA - Custom Drug Benefit - PPO
    • my Blue Access WV PPO Bronze 8900 - PPO
  • Humana

    • Humana Dental Smart Choice - PPO
    • Humana Dental Smart Choice - High - PPO
    • Humana Dental Smart Choice - Lite - PPO
    • Humana Dental Smart Choice - Low - PPO
  • MedMutual

    • Market HMO 2500 - HMO
    • Market HMO 3850 - HMO
    • Market HMO 4000 HSA - HMO
    • Market HMO 6900 - HMO
    • Market HMO 7300 HSA - HMO
  • Moda Health Plan, Inc.

    • Moda Health Affinity Bronze 7750 - EPO
    • Moda Health Affinity Bronze 9000 - EPO
    • Moda Health Affinity Bronze HSA 7500 - EPO
    • Moda Health Affinity Gold 1000 - EPO
    • Moda Health Affinity Gold 250 - EPO
  • Moda Health, Inc.

    • Moda Select Bronze 8700 ($0 Virtual Care) - EPO
    • Moda Select Bronze HSA 7500 - EPO
    • Moda Select Gold 1000 ($0 Virtual Care) - EPO
    • Moda Select Gold 1800 ($0 Virtual Care) - EPO
    • Moda Select Silver 3500 ($0 Virtual Care) - EPO
  • Oscar Health Insurance

    • Bronze Classic 4700 (Select) - HMO
    • Bronze Classic PCP Saver (Select) - HMO
    • Bronze Classic Standard (Select) - HMO
    • Bronze Elite + PCP Saver Plus (Select) - HMO
    • Bronze Elite + Specialist Saver Plus (Select) - HMO
  • Oscar Health Plan of Georgia

    • Bronze Classic 4700 - HMO
    • Bronze Classic PCP Saver Plus - HMO
    • Bronze Classic Standard - HMO
    • Bronze Elite + PCP Saver Plus - HMO
    • Bronze Simple 2 - HMO
  • Oscar Health Plan of North Carolina, Inc

    • Bronze Classic 4700 - HMO
    • Bronze Classic PCP Saver - HMO
    • Bronze Classic Standard - HMO
    • Bronze Elite + PCP Saver Plus - HMO
    • Bronze Simple HSA - HMO
  • Oscar Health Plan, Inc.

    • Bronze Classic - HMO
    • Bronze Classic (Choice) - HMO
    • Bronze Classic 4700 - HMO
    • Bronze Classic 4700 (Choice) - HMO
    • Bronze Classic 4700 (Select) - HMO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic | MercyOne - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic 4700 - PPO
    • Bronze Classic 4700 (Choice) - EPO
  • Oscar Insurance Company of Florida

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic Standard - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Bronze Elite + Specialist Saver Plus - EPO
  • Oscar Insurance Corporation of Ohio

    • Bronze Classic - HMO
    • Bronze Classic PCP Saver - HMO
    • Bronze Classic Standard - HMO
    • Bronze Simple - HMO
    • Bronze Simple HSA - HMO
  • Primewell Health Services of Mississippi

    • Essential Bronze 6500 - POS
    • Essential Gold 1500 - POS
    • Freedom Silver 4000 - POS
    • Savings Bronze 5500 - POS
    • Savings Bronze 7400 - POS
  • Sanford Health Plan

    • Sanford Individual Simplicity $1,750 - PPO
    • Sanford Individual Simplicity $2,800 - PPO
    • Sanford Individual Simplicity $3,500 - PPO
    • Sanford Individual Simplicity $4,750 - PPO
    • Sanford Individual Simplicity $6,000 - PPO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Insulin) - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHY GIANNAKOPOULOS

Authorized Official Title
ENROLLMENTS MANAGER
Authorized Official Phone
(208) 395-3954

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
470336MEDICAID (05)AZ 
1990417OTHER (01)PK

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20465741
Accepts Medicare Assignment
NO
Specialities List
Grocery Store, Pharmacy.
Competitive Bidding
NO

Supplies List

  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Infusion Drugs -
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Urological Supplies - Catheters, Urinary collection devices

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2073110
Facility Type
Pharmacy
Certificate Effective Date
March 23, 2024
Certificate Expiration Date
March 22, 2026
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Safeway Pharmacy #3189 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SAFEWAY PHARMACY #3189

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093744062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201831448012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 1 + 4 + 4 + 8 + 0 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1093744062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871633230MR. KEITH DEE HATFIELD RPH
Individual
Pharmacist702 W HOPI DR
HOLBROOK, AZ 86025
(928) 524-2661
1013059690MR. ROBERT MICHAEL KIMES RPH
Individual
Pharmacist702 W HOPI DR
HOLBROOK, AZ 86025
(928) 524-2661
1629378260 LINDSEY GENET PHARM.D.
Individual
Pharmacist702 W HOPI DR
HOLBROOK, AZ 86025
(928) 524-2661
1952688541 ANDREW BLEAK PHARMD.
Individual
Pharmacist702 W HOPI DR
HOLBROOK, AZ 86025
(928) 524-2661
1447501051 NIRAJA PATEL R.PH
Individual
Pharmacist702 W HOPI DR
HOLBROOK, AZ 86025
(928) 524-6814
1386169274 BACH HA PHARMD
Individual
Pharmacist702 W HOPI DR
HOLBROOK, AZ 86025
(928) 524-2661
1295205896 DELANEY BETH MILLER PHARMD
Individual
Pharmacist702 W HOPI DR
HOLBROOK, AZ 86025
(928) 524-3313
1912662826 KYLE ROOT PHARMD
Individual
Pharmacist702 W HOPI DR
HOLBROOK, AZ 86025
(928) 524-2661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093744062, enumerated in the NPI registry as an "organization" on July 02, 2006

The provider is located at 702 W Hopi Dr Holbrook, Az 86025 and the phone number is (928) 524-2661

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Arizona Complete. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D2073110 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.