SAFEWAY PHARMACY #1965
NPI 1629009436
Pharmacy - Community/Retail Pharmacy in Seattle, WA

Active since July 06, 2006CLIA 50D2053327 · Waiver
9262 RAINIER AVE S, SEATTLE, WA 98118(206) 494-1130(206) 494-1124 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2020, Oct 17, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #1965 NPPES

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

SAFEWAY PHARMACY #1965 (NPI 1629009436) is a healthcare organization registered as a community/retail pharmacy in Seattle, Washington and active in the NPI registry since July 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

NPI1629009436
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address9262 RAINIER AVE SSeattle, WA 98118-5570
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Fax(206) 494-1124
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 13, 20203 updates tracked since enumeration
NPPES CertifiedApril 13, 2020
NPI 1629009436 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.60520470
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
9262 RAINIER AVE S, Seattle, WA 98118

Other Names 1

Doing Business AsSafeway Pharmacy #1965

Other Identifiers 2

Other2108005Pk
Medicaid6026371WA

Accepted 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 50D2053327

Safeway Pharmacy 1965 · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2053327
Laboratory TypePharmacy
Certificate Effective DateJanuary 30, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan Tegart
Laboratory Phone(206) 494-1130
Laboratory LocationSafeway Pharmacy 19659262 Rainier Ave S, Seattle, WA 98118
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 #1965 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1965

DMEPOS supplier · Seattle, WAOperated by Safeway Inc

Does not accept Medicare assignment

Safeway Pharmacy #1965 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)20468867
Medicare Participant SinceJanuary 1, 2017
Supplier Location9262 Rainier Ave SSeattle, WA 98118
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 2

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

Pharmacist
9262 RAINIER AVE S
SEATTLE, WA 98118
Student in an Organized Health Care Education/Training Program
9262 RAINIER AVE S
SEATTLE, WA 98118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629009436, enumerated as an "organization" on July 06, 2006.

The provider is located at 9262 RAINIER AVE S SEATTLE, WA 98118 and the phone number is (206) 494-1130.

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.