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SAFEWAY PHARMACY #1428
NPI 1508895574
Pharmacy - Community/Retail Pharmacy in Alexandria, VA

Active since July 02, 2006CLIA 49D2072765 · Waiver
299 S VAN DORN ST, ALEXANDRIA, VA 22304(703) 823-2641(703) 823-5285 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Safeway Pharmacy #1428 NPPES

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

SAFEWAY PHARMACY #1428 (NPI 1508895574) is a healthcare organization registered as a community/retail pharmacy in Alexandria, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1508895574
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNAI SATURN EASTERN LLC
Location Address299 S VAN DORN STAlexandria, VA 22304-4303
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940 · (847) 916-4463 · Fax (847) 916-4736
Phone(703) 823-2641
Fax(703) 823-5285
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 2, 2006
Last NPPES UpdateSeptember 27, 2018
✔ NPI 1508895574 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 · 0201002290
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
299 S VAN DORN ST, Alexandria, VA 22304
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Other Names 1

Doing Business AsSafeway Pharmacy #1428

Other Identifiers 2

Other2150021Pk
Medicaid8515174VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Safeway Pharmacy #1428 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20150512002616DME · PharmacyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 49D2072765

Safeway Pharmacy # 1428 · Alexandria, VA
Active · expires Feb 4, 2028
CLIA Number49D2072765
Laboratory TypePharmacy
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorKrista Hein
Laboratory Phone(703) 823-2641
Laboratory LocationSafeway Pharmacy # 1428299 South Van Dorn Street, Alexandria, VA 22304
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 3

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

DR. TAYIANA J ROUSSELL PHARM D
Pharmacist
299 S VAN DORN ST
ALEXANDRIA, VA 22304
Alexandria City (703) 340-1037
MANDICIA EBBA PHARMD
Pharmacist
299 S VAN DORN ST
ALEXANDRIA, VA 22304
Alexandria City (703) 823-2641
SARA ZEMUI
Pharmacist
299 S VAN DORN ST
ALEXANDRIA, VA 22304
Alexandria City (703) 823-2641

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 1508895574. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #1428.

Where is Nai Saturn Eastern LLC located?

Nai Saturn Eastern LLC is located at 299 S Van Dorn St, Alexandria, VA 22304. The listed phone number is (703) 823-2641.

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.

Is Nai Saturn Eastern LLC enrolled in Medicare?

Yes. Nai Saturn Eastern LLC is registered in the Medicare PECOS enrollment system.

When is Nai Saturn Eastern LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Virginia, Pharmacy) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Nai Saturn Eastern LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2072765) is associated with this NPI, valid through February 4, 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 Arkansas Health & Wellness and Ambetter from Louisiana Healthcare Connections and 40 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 8 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.