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: July 19, 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 a CLIA Waiver certificate valid through April 4, 2028 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
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

Other Names 1

Doing Business AsSafeway Pharmacy #1503

Other Identifiers 2

Medicaid6019855WA
Other2110411Pk

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20465813
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • 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
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D1034875
Facility Type
Pharmacy
Certificate Effective Date
December 15, 2004
Certificate Expiration Date
April 04, 2028
Laboratory Director
SUSAN M. TEGART
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Safeway Pharmacy #1503 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pharmacist
520 CLEVELAND AVE SE
TUMWATER, WA 98501
Pharmacist
520 CLEVELAND AVE SE
TUMWATER, WA 98501
Pharmacist
520 CLEVELAND AVE SE
TUMWATER, WA 98501
Pharmacy (Community/Retail Pharmacy)
520 CLEVELAND AVE SE
TUMWATER, WA 98501
Pharmacist
520 CLEVELAND AVE SE
TUMWATER, WA 98501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619913480, enumerated as an "organization" on June 21, 2006.

The provider is located at 520 CLEVELAND AVE SE TUMWATER, WA 98501 and the phone number is (360) 943-7600.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arizona. Please consult your insurance carrier or call the provider to verify.