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SAFEWAY PHARMACY #0543
NPI 1154350171
Pharmacy - Community/Retail Pharmacy in Lacey, WA

Active since July 02, 2006CLIA 50D2058437 · Waiver
4700 YELM HWY SE, LACEY, WA 98503(360) 438-0081(360) 438-0082 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

About Safeway Pharmacy #0543 NPPES

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

SAFEWAY PHARMACY #0543 (NPI 1154350171) is a healthcare organization registered as a community/retail pharmacy in Lacey, Washington and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1154350171
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address4700 YELM HWY SELacey, WA 98503-4986
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Phone(360) 438-0081
Fax(360) 438-0082
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 3, 20203 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1154350171 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.60515954
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
4700 YELM HWY SE, Lacey, WA 98503
Open in Google Maps ↗

Other Names 1

Doing Business AsSafeway Pharmacy #0543

Other Identifiers 2

Other2108362Pk
Medicaid6002927WA

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 50D2058437

Safeway Pharmacy 543 · Lacey, WA
Active · expires Apr 4, 2028
CLIA Number50D2058437
Laboratory TypePharmacy
Certificate Effective DateMay 7, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan Tegart
Laboratory Phone(360) 438-0081
Laboratory LocationSafeway Pharmacy 5434700 Yelm Rd SE, Lacey, WA 98503
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 #0543 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #0543

DMEPOS supplier · Lacey, WAOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #0543 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)20465495
Medicare Participant SinceJanuary 1, 2017
Supplier Location4700 Yelm Hwy SELacey, WA 98503
Phone(360) 438-0081
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 4

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

DR. NICOLE MARIE MILLER PHARMD
Pharmacist
4700 YELM HWY SE
LACEY, WA 98503
Thurston County (360) 438-0081
DR. TRAVIS PAUL COLLINS PHARMD
Pharmacist
4700 YELM HWY SE
LACEY, WA 98503
Thurston County (360) 438-0081
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
4700 YELM HWY SE
LACEY, WA 98503
Thurston County (360) 438-0081
DR. GREGORY SOUTH PHARM D.
Pharmacist
4700 YELM HWY SE
LACEY, WA 98503
Thurston County (360) 438-0203

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 1154350171. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #0543.

Where is Safeway Inc located?

Safeway Inc is located at 4700 Yelm Hwy SE, Lacey, WA 98503. The listed phone number is (360) 438-0081.

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 #0543 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 50D2058437) is associated with this NPI, valid through April 4, 2028. 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 42 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 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.