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SAFEWAY PHARMACY #1960
NPI 1639108665
Pharmacy - Community/Retail Pharmacy in Madras, OR

Active since July 02, 2006CLIA 38D2081043 · Waiver
80 NE CEDAR ST, MADRAS, OR 97741(541) 325-0466(541) 325-0468 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 17, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #1960 NPPES

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

SAFEWAY PHARMACY #1960 (NPI 1639108665) is a healthcare organization registered as a community/retail pharmacy in Madras, Oregon and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1639108665
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address80 NE CEDAR STMadras, OR 97741-1956
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Phone(541) 325-0466
Fax(541) 325-0468
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateApril 3, 20203 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1639108665 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 OR · 0001002
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
80 NE CEDAR ST, Madras, OR 97741
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Other Names 1

Doing Business AsSafeway Pharmacy #1960

Other Identifiers 3

Medicaid108746OR
Medicaid269303OR
Other2077954Pk

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 #1960 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
StateOregonEnrollment IDO20100930012835DME · 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 38D2081043

Safeway Pharmacy #1960 · Madras, OR
Active · expires Jul 16, 2028
CLIA Number38D2081043
Laboratory TypePharmacy
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorShani A. Howell
Laboratory Phone(541) 325-0466
Laboratory LocationSafeway Pharmacy #196080 NE Cedar St, Madras, OR 97741
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 10

Medicare supplier enrollment and the product categories Safeway Pharmacy #1960 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1960

DMEPOS supplier · Madras, OROperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #1960 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)20467919
Medicare Participant SinceJanuary 1, 2017
Supplier Location80 NE Cedar StMadras, OR 97741
Phone(541) 325-0466
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.

DR. BRENNAN JOHN KAPPES PHARMD
Pharmacist
80 NE CEDAR ST
MADRAS, OR 97741
Jefferson County (541) 325-0466
MS. CATHERINE A. ADAMS RPH
Pharmacist
80 NE CEDAR ST
MADRAS, OR 97741
Jefferson County (541) 325-0466
SHANI A REHWINKEL PHARMD
Pharmacist
80 NE CEDAR ST
MADRAS, OR 97741
Jefferson County (541) 325-0466
MR. GERALD D GERKE
Pharmacist
80 NE CEDAR ST
MADRAS, OR 97741
Jefferson County (541) 325-0466

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 1639108665. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #1960.

Where is Safeway Inc located?

Safeway Inc is located at 80 NE Cedar St, Madras, OR 97741. The listed phone number is (541) 325-0466.

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 (Oregon, 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 #1960 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2081043) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 38 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.