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SAFEWAY PHARMACY #1158
NPI 1386673309
Pharmacy - Community/Retail Pharmacy in Deer Lodge, MT

Active since July 02, 2006CLIA 27D2083946 · Waiver
201 N MAIN ST, DEER LODGE, MT 59722(406) 846-1414(406) 846-2884 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 22, 2018, Feb 27, 2017, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #1158 NPPES

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

SAFEWAY PHARMACY #1158 (NPI 1386673309) is a healthcare organization registered as a community/retail pharmacy in Deer Lodge, Montana and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 15, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1386673309
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address201 N MAIN STDeer Lodge, MT 59722-1062
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(406) 846-1414
Fax(406) 846-2884
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 28, 20203 updates tracked since enumeration
NPPES CertifiedApril 28, 2020
✔ NPI 1386673309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MT · PHA-PHR-LIC-27870
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
Also ListedPharmacyTaxonomy 333600000X
201 N MAIN ST, Deer Lodge, MT 59722
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Other Names 1

Doing Business AsSafeway Pharmacy #1158

Other Identifiers 3

Medicaid0000211089MT
Medicaid0005601602MT
Other2052011Pk

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 27D2083946

Safeway Pharmacy # 1158 · Deer Lodge, MT
Active · expires Sep 15, 2026
CLIA Number27D2083946
Laboratory TypePharmacy
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorKevin Swanson
Laboratory Phone(406) 846-1414
Laboratory LocationSafeway Pharmacy # 1158201 N Main St, Deer Lodge, MT 59722
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 #1158 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1158

DMEPOS supplier · Deer Lodge, MTOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #1158 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)20464571
Medicare Participant SinceJanuary 1, 2017
Supplier Location201 N Main StDeer Lodge, MT 59722
Phone(406) 846-1414
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 3

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

LISA LYNETTE OLSEN PHARM D, RPH
Pharmacist
201 N MAIN ST
DEER LODGE, MT 59722
Powell County (406) 846-1414
DR. ANGIE GALETTI PHARMD
Pharmacist
201 N MAIN ST
DEER LODGE, MT 59722
Powell County (406) 846-1414
MS. PATRICIA J LACEY RPH
Pharmacist
201 N MAIN ST
DEER LODGE, MT 59722
Powell County (406) 846-1414

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 1386673309. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #1158.

Where is Safeway Inc located?

Safeway Inc is located at 201 N Main St, Deer Lodge, MT 59722. The listed phone number is (406) 846-1414.

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 #1158 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 27D2083946) is associated with this NPI, valid through September 15, 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 40 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 28, 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.