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SAFEWAY PHARMACY #1470
NPI 1164468781
Pharmacy - Community/Retail Pharmacy in Coeur D Alene, ID

Active since June 21, 2006CLIA 13D2082229 · Waiver
121 W NEIDER AVE, COEUR D ALENE, ID 83815(208) 765-4410(208) 765-0451 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2020, Oct 17, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #1470 NPPES

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

SAFEWAY PHARMACY #1470 (NPI 1164468781) is a healthcare organization registered as a community/retail pharmacy in Coeur D Alene, Idaho and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 10, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1164468781
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address121 W NEIDER AVECoeur D Alene, ID 83815-9300
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(208) 765-4410
Fax(208) 765-0451
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJune 21, 2006
Last NPPES UpdateApril 6, 20203 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
✔ NPI 1164468781 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 ID · 40536RP
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
121 W NEIDER AVE, Coeur D Alene, ID 83815
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Other Names 1

Doing Business AsSafeway Pharmacy #1470

Other Identifiers 3

Medicaid1164468781ID
Other2021426Pk
Medicaid0034868ID

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 13D2082229

Safeway Pharmacy #1470 · Coeur D Alene, ID
Active · expires Aug 10, 2026
CLIA Number13D2082229
Laboratory TypePharmacy
Certificate Effective DateAugust 11, 2024
Certificate Expiration DateAugust 10, 2026
Laboratory DirectorTimothy Flynn
Laboratory Phone(208) 765-4410
Laboratory LocationSafeway Pharmacy #1470121 W Neider Ave, Coeur D Alene, ID 83815
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 12

Medicare supplier enrollment and the product categories Safeway Pharmacy #1470 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1470

DMEPOS supplier · Coeur D Alene, IDOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #1470 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)20465501
Medicare Participant SinceJanuary 1, 2017
Supplier Location121 W Neider AveCoeur D Alene, ID 83815
Phone(208) 765-4410
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 2

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

KATLIN MAY CICCHETTI PHARMD
Pharmacist
121 W NEIDER AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 765-4410
MR. RONALD EDWARD NELSON
Pharmacist
121 W NEIDER AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 765-4410

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 1164468781. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Safeway Pharmacy #1470.

Where is Safeway Inc located?

Safeway Inc is located at 121 W Neider Ave, Coeur D Alene, ID 83815. The listed phone number is (208) 765-4410.

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 #1470 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 13D2082229) is associated with this NPI, valid through August 10, 2026. 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 6, 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.