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SAFEWAY PHARMACY #2761
NPI 1649509415
Pharmacy - Community/Retail Pharmacy in Lander, WY

Active since December 08, 2009CLIA 53D2074993 · Waiver
1165 MAIN ST, LANDER, WY 82520(307) 332-3939(307) 332-3733 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2020, Oct 4, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #2761 NPPES

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

SAFEWAY PHARMACY #2761 (NPI 1649509415) is a healthcare organization registered as a community/retail pharmacy in Lander, Wyoming and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1649509415
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address1165 MAIN STLander, WY 82520-2665
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(307) 332-3939
Fax(307) 332-3733
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateDecember 8, 2009
Last NPPES UpdateApril 21, 20203 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1649509415 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 WY · R10132
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
1165 MAIN ST, Lander, WY 82520
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Other Names 1

Doing Business AsSafeway Pharmacy #2761

Other Identifiers 2

Other2123740Pk
Medicaid129218800WY

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

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 53D2074993

Safeway Pharmacy #2761 · Lander, WY
Active · expires Jun 8, 2028
CLIA Number53D2074993
Laboratory TypePharmacy
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorCalvin J. Culver
Laboratory Phone(307) 332-3939
Laboratory LocationSafeway Pharmacy #27611165 Main St, Lander, WY 82520
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 #2761 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #2761

DMEPOS supplier · Lander, WYOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #2761 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)20468585
Medicare Participant SinceJanuary 1, 2017
Supplier Location1165 Main StLander, WY 82520
Phone(307) 332-3939
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 4

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

AMBER GROGAN PHARM D
Pharmacist
1165 MAIN ST
LANDER, WY 82520
Fremont County (307) 332-3939
ROYCE JAMES PHILPOTT PHARMD, RPH
Pharmacist
1165 MAIN ST
LANDER, WY 82520
Fremont County (307) 332-3939
JAMES DENVER HALL PHARMD
Pharmacist
1165 MAIN ST
LANDER, WY 82520
Fremont County (307) 332-3939
KATHERINE DIANE BOCHE RPH
Pharmacist
1165 MAIN ST
LANDER, WY 82520
Fremont County (307) 332-3939

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 1649509415. It was assigned to this organization in the NPPES registry on December 8, 2009. The provider is doing business as Safeway Pharmacy #2761.

Where is Safeway Inc located?

Safeway Inc is located at 1165 Main St, Lander, WY 82520. The listed phone number is (307) 332-3939.

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 #2761 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 53D2074993) is associated with this NPI, valid through June 8, 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 Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 41 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 21, 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.