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SAFEWAY PHARMACY #0005
NPI 1316983935
Pharmacy - Community/Retail Pharmacy in Reston, VA

Active since June 21, 2006CLIA 49D2249367 · Waiver
11120 S LAKES DR, RESTON, VA 20191(703) 620-2444(703) 758-1578 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Safeway Pharmacy #0005 NPPES

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

SAFEWAY PHARMACY #0005 (NPI 1316983935) is a healthcare organization registered as a community/retail pharmacy in Reston, Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 19, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1316983935
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNAI SATURN EASTERN LLC
Location Address11120 S LAKES DRReston, VA 20191-4327
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940 · (847) 916-4463 · Fax (847) 916-4736
Phone(703) 620-2444
Fax(703) 758-1578
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 27, 2018
✔ NPI 1316983935 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 VA · 0201002046
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
11120 S LAKES DR, Reston, VA 20191
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Other Names 1

Doing Business AsSafeway Pharmacy #0005

Other Identifiers 2

Medicaid8514127VA
Other2150008Pk

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 49D2249367

Safeway Pharmacy #0005 · Reston, VA
Active · expires Jan 19, 2028
CLIA Number49D2249367
Laboratory TypePharmacy
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorKrista Hein
Laboratory Phone(703) 620-2444
Laboratory LocationSafeway Pharmacy #000511120 South Lakes Dr, Reston, VA 20191
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DANA WILLARD
Pharmacist
11120 S LAKES DR
RESTON, VA 20191
Fairfax County (703) 620-2444
JYOTSNA KACHRU
Pharmacist
11120 S LAKES DR
RESTON, VA 20191
Fairfax County (703) 620-2444
MR. JOHN CHRISTOPHER WEST PHARMACIST
Pharmacist
11120 S LAKES DR, SAFEWAY
RESTON, VA 20191
Fairfax County (703) 620-2444
DR. VY N NGUYEN PHARMD
Pharmacist
11120 S LAKES DR
RESTON, VA 20191
Fairfax County (703) 620-2444
YI PARK
Pharmacist
11120 S LAKES DR
RESTON, VA 20191
Fairfax County (703) 853-9992

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 1316983935. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Safeway Pharmacy #0005.

Where is Nai Saturn Eastern LLC located?

Nai Saturn Eastern LLC is located at 11120 S Lakes Dr, Reston, VA 20191. The listed phone number is (703) 620-2444.

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.

Does Nai Saturn Eastern LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2249367) is associated with this NPI, valid through January 19, 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 Health of Delaware, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 42 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 September 27, 2018. 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.