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SAFEWAY PHARMACY #1724
NPI 1437188471
Pharmacy - Community/Retail Pharmacy in Placerville, CA

Active since July 02, 2006CLIA 05D2091960 · Waiver
3955 MISSOURI FLAT RD, PLACERVILLE, CA 95667(530) 295-2977(530) 295-2981 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2018, Mar 1, 2017, Dec 21, 2016 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #1724 NPPES

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

SAFEWAY PHARMACY #1724 (NPI 1437188471) is a healthcare organization registered as a community/retail pharmacy in Placerville, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1437188471
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address3955 MISSOURI FLAT RDPlacerville, CA 95667-5208
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Phone(530) 295-2977
Fax(530) 295-2981
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 2, 2006
Last NPPES UpdateOctober 17, 20184 updates tracked since enumeration
✔ NPI 1437188471 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 · PHY52377
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
3955 MISSOURI FLAT RD, Placerville, CA 95667
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Other Names 1

Doing Business AsSafeway Pharmacy #1724

Other Identifiers 2

Other2113223Pk
Medicaid1437188471CA

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 05D2091960

Safeway Pharmacy #1724 · Placerville, CA
Active · expires Feb 22, 2027
CLIA Number05D2091960
Laboratory TypePharmacy
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorJackie Lyn Velasco
Laboratory Phone(530) 295-2977
Laboratory LocationSafeway Pharmacy #17243955 Missouri Flat Rd, Placerville, CA 95667
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 #1724 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1724

DMEPOS supplier · Placerville, CAOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #1724 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)20466569
Medicare Participant SinceJanuary 1, 2017
Supplier Location3955 Missouri Flat RdPlacerville, CA 95667
Phone(530) 295-2977
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 5

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

PETER LESLIE MCINTYRE RPH
Pharmacist
3955 MISSOURI FLAT RD
PLACERVILLE, CA 95667
El Dorado County (530) 295-2977
ANGALINE WUSSTIG PHARMD
Pharmacist
3955 MISSOURI FLAT RD
PLACERVILLE, CA 95667
El Dorado County (530) 295-2977
MICHELLE LEE
Pharmacist
3955 MISSOURI FLAT RD
PLACERVILLE, CA 95667
El Dorado County (530) 295-2977
VANESSAH LOU RHODUS PHARMD
Pharmacist
3955 MISSOURI FLAT RD
PLACERVILLE, CA 95667
El Dorado County (530) 295-2977
MRS. JASWANT S MOYER PHARM.D.
Pharmacist
3955 MISSOURI FLAT RD
PLACERVILLE, CA 95667
El Dorado County (530) 295-2977

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 1437188471. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #1724.

Where is Safeway Inc located?

Safeway Inc is located at 3955 Missouri Flat Rd, Placerville, CA 95667. The listed phone number is (530) 295-2977.

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 #1724 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 05D2091960) is associated with this NPI, valid through February 22, 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 October 17, 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.