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SAFEWAY PHARMACY #2828
NPI 1124064753
Pharmacy - Community/Retail Pharmacy in Novato, CA

Active since June 21, 2006CLIA 05D2058421 · Waiver
5720 NAVE DR, NOVATO, CA 94949(415) 881-9260(415) 881-9261 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2018, Jul 19, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #2828 NPPES

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

SAFEWAY PHARMACY #2828 (NPI 1124064753) is a healthcare organization registered as a community/retail pharmacy in Novato, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1124064753
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address5720 NAVE DRNovato, CA 94949-6210
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-6200 · Fax (623) 336-6896
Phone(415) 881-9260
Fax(415) 881-9261
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJune 21, 2006
Last NPPES UpdateApril 27, 20203 updates tracked since enumeration
NPPES CertifiedApril 27, 2020
✔ NPI 1124064753 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 CA · PHY52333
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
5720 NAVE DR, Novato, CA 94949
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Other Names 1

Doing Business AsSafeway Pharmacy #2828

Other Identifiers 2

Medicaid1124064753CA
Other2029611Pk

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 05D2058421

Safeway Pharmacy # 2828 · Novato, CA
Active · expires May 6, 2027
CLIA Number05D2058421
Laboratory TypePharmacy
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorLaurel Carmichael
Laboratory Phone(415) 881-9260
Laboratory LocationSafeway Pharmacy # 28285720 Nave Drive, Novato, CA 94949
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 #2828 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #2828

DMEPOS supplier · Novato, CAOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #2828 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)20465033
Medicare Participant SinceJanuary 1, 2017
Supplier Location5720 Nave DrNovato, CA 94949
Phone(415) 881-9260
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
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
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 5

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

STEVEN NORMAN SEIDMAN R.P.H
Pharmacist
5720 NAVE DR
NOVATO, CA 94949
Marin County (415) 881-9260
HAMID AMIRI PHARMD
Pharmacist
5720 NAVE DR
NOVATO, CA 94949
Marin County (801) 703-7490
WAYNE RAPP R.PH.
Pharmacist
5720 NAVE DR
NOVATO, CA 94949
Marin County (415) 881-9260
MAYGREE DEE LINDOR PHARMD
Pharmacist
5720 NAVE DR
NOVATO, CA 94949
Marin County (415) 881-9256
VANESSA NATAN TONDO SATRIO
Pharmacist
5720 NAVE DR
NOVATO, CA 94949
Marin County (415) 881-9256

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 1124064753. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Safeway Pharmacy #2828.

Where is Safeway Inc located?

Safeway Inc is located at 5720 Nave Dr, Novato, CA 94949. The listed phone number is (415) 881-9260.

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 #2828 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2058421) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 April 27, 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.