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SAFEWAY PHARMACY #1503
NPI 1619913480
Pharmacy - Community/Retail Pharmacy in Tumwater, WA

Active since June 21, 2006CLIA Certified · 2 labs
520 CLEVELAND AVE SE, TUMWATER, WA 98501(360) 943-7600(360) 943-0949 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2020, Oct 29, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #1503 NPPES

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

SAFEWAY PHARMACY #1503 (NPI 1619913480) is a healthcare organization registered as a community/retail pharmacy in Tumwater, Washington and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1619913480
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address520 CLEVELAND AVE SETumwater, WA 98501-3313
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(360) 943-7600
Fax(360) 943-0949
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJune 21, 2006
Last NPPES UpdateApril 8, 20203 updates tracked since enumeration
NPPES CertifiedApril 8, 2020
✔ NPI 1619913480 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 WA · PHAR.CF.60517095
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
520 CLEVELAND AVE SE, Tumwater, WA 98501
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Other Names 1

Doing Business AsSafeway Pharmacy #1503

Other Identifiers 2

Medicaid6019855WA
Other2110411Pk

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 2

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 50D2058458

Safeway Pharmacy 1503 · Tumwater, WA
Active · expires Apr 4, 2028
CLIA Number50D2058458
Laboratory TypePharmacy
Certificate Effective DateMay 8, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan Tegart
Laboratory Phone(360) 943-7600
Laboratory LocationSafeway Pharmacy 1503520 Cleveland Ave, Tumwater, WA 98501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D1034875

Safeway Pharmacy #1407 · Tumwater, WA
Active · expires Apr 4, 2028
CLIA Number50D1034875
Laboratory TypePharmacy
Certificate Effective DateDecember 15, 2004
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan M. Tegart
Laboratory Phone(360) 705-3679
Laboratory LocationSafeway Pharmacy #1407705 Trosper Rd SW, Tumwater, WA 98512
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Safeway Pharmacy # 1503 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy # 1503

DMEPOS supplier · Tumwater, WAOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy # 1503 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)20465813
Medicare Participant SinceJanuary 1, 2017
Supplier Location520 Cleveland Ave SETumwater, WA 98501
Phone(360) 943-7600
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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.

MR. RICHARD GRAHAM PHARMACIST
Pharmacist
520 CLEVELAND AVE SE
TUMWATER, WA 98501
Thurston County (360) 943-7600
MARTHA KLIEM RPH
Pharmacist
520 CLEVELAND AVE SE
TUMWATER, WA 98501
Thurston County (360) 943-7600
QIANQIAN LU
Pharmacist
520 CLEVELAND AVE SE
TUMWATER, WA 98501
Thurston County (360) 943-7600
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
520 CLEVELAND AVE SE
TUMWATER, WA 98501
Thurston County (360) 943-7600
SUNG WOO LEE
Pharmacist
520 CLEVELAND AVE SE
TUMWATER, WA 98501
Thurston County (360) 943-7600

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 1619913480. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Safeway Pharmacy #1503.

Where is Safeway Inc located?

Safeway Inc is located at 520 Cleveland Ave SE, Tumwater, WA 98501. The listed phone number is (360) 943-7600.

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 # 1503 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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 42 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 8, 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.