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SAFEWAY PHARMACY #1620
NPI 1669401683
Pharmacy - Community/Retail Pharmacy in Gaithersburg, MD

Active since July 02, 2006CLIA 21D2081721 · Waiver
20211 GOSHEN RD, GAITHERSBURG, MD 20879(301) 670-1631(301) 670-1642 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Safeway Pharmacy #1620 NPPES

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

SAFEWAY PHARMACY #1620 (NPI 1669401683) is a healthcare organization registered as a community/retail pharmacy in Gaithersburg, Maryland and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 28, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1669401683
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNAI SATURN EASTERN LLC
Location Address20211 GOSHEN RDGaithersburg, MD 20879-4000
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940 · (847) 916-4463 · Fax (847) 916-4736
Phone(301) 670-1631
Fax(301) 670-1642
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 2, 2006
Last NPPES UpdateSeptember 27, 2018
✔ NPI 1669401683 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 MD · P06612
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
20211 GOSHEN RD, Gaithersburg, MD 20879
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Other Names 1

Doing Business AsSafeway Pharmacy #1620

Other Identifiers 2

Medicaid423460000MD
Other2150002Pk

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 21D2081721

Safeway Pharmacy #1620 · Gaithersburg, MD
Active · expires Jul 28, 2028
CLIA Number21D2081721
Laboratory TypePharmacy
Certificate Effective DateJuly 29, 2026
Certificate Expiration DateJuly 28, 2028
Laboratory DirectorAkash P. Patel
Laboratory Phone(301) 670-1631
Laboratory LocationSafeway Pharmacy #162020211 Goshen Rd, Gaithersburg, MD 20879
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MS. JI Y. LEE PHARMACIST
Pharmacist
20211 GOSHEN RD
GAITHERSBURG, MD 20879
Montgomery County (301) 670-1631
DR. GENEVIEVE DANG
Pharmacist
20211 GOSHEN RD
GAITHERSBURG, MD 20879
Montgomery County (301) 670-1631
JACK BILBY P.D.
Pharmacist
20211 GOSHEN RD
GAITHERSBURG, MD 20879
Montgomery County (301) 670-1631
NAI SATURN EASTERN LLC
Pharmacy (Community/Retail Pharmacy)
20211 GOSHEN RD
GAITHERSBURG, MD 20879
Montgomery County (301) 670-1642
NAI SATURN EASTERN LLC
Pharmacy (Community/Retail Pharmacy)
20211 GOSHEN RD
GAITHERSBURG, MD 20879
Montgomery County (301) 670-1631

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 Nai Saturn Eastern LLC's NPI number?

The NPI number for Nai Saturn Eastern LLC is 1669401683. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #1620.

Where is Nai Saturn Eastern LLC located?

Nai Saturn Eastern LLC is located at 20211 Goshen Rd, Gaithersburg, MD 20879. The listed phone number is (301) 670-1631.

What is Nai Saturn Eastern LLC's specialty?

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

Does Nai Saturn Eastern LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2081721) is associated with this NPI, valid through July 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nai Saturn Eastern LLC 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 42 other insurers list Nai Saturn Eastern LLC 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 Nai Saturn Eastern LLC was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.