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SAFEWAY PHARMACY #0544
NPI 1629004403
Pharmacy - Community/Retail Pharmacy in Bonney Lake, WA

Active since June 24, 2006
21301 STATE ROUTE 410 E, BONNEY LAKE, WA 98391(253) 862-2533(253) 862-2173 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2020, Oct 3, 2018, Jun 29, 2018 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #0544 NPPES

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

SAFEWAY PHARMACY #0544 (NPI 1629004403) is a healthcare organization registered as a community/retail pharmacy in Bonney Lake, Washington and active in the NPI registry since June 2006. The organization lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1629004403
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address21301 STATE ROUTE 410 EBonney Lake, WA 98391
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Phone(253) 862-2533
Fax(253) 862-2173
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJune 24, 2006
Last NPPES UpdateApril 3, 20204 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1629004403 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.60515960
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
21301 STATE ROUTE 410 E, Bonney Lake, WA 98391
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Other Names 1

Doing Business AsSafeway Pharmacy #0544

Other Identifiers 2

Other2108522Pk
Medicaid6006647WA

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 #0544 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
StateWashingtonEnrollment IDO20100930063502DME · PharmacyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Safeway Pharmacy 0544 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy 0544

DMEPOS supplier · Bonney Lake, WAOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy 0544 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)20464469
Medicare Participant SinceJanuary 1, 2017
Supplier Location21301 State Route 410 EBonney Lake, WA 98391
Phone(253) 862-2533
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 4

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

MR. DMITRIY VALERYEVICH KURKOV PHARM.D
Pharmacist
21301 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-2533
ROBBIE ALLEN
Counselor (Mental Health)
21301 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (855) 801-0175
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
21301 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-2533
MR. CHRISTINA LYNN CLARK RPH
Pharmacist
21301 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pierce County (253) 862-2533

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 1629004403. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as Safeway Pharmacy #0544.

Where is Safeway Inc located?

Safeway Inc is located at 21301 State Route 410 E, Bonney Lake, WA 98391. The listed phone number is (253) 862-2533.

What is Safeway Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Safeway Inc enrolled in Medicare?

Yes. Safeway Inc is registered in the Medicare PECOS enrollment system.

When is Safeway Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Washington, 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 Safeway Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Safeway Pharmacy 0544 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.

What insurance does Safeway Inc 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 39 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 3, 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.