SAFEWAY PHARMACY #0536
NPI 1669428215
Pharmacy - Community/Retail Pharmacy in Troutdale, OR

Q: What is Albertsons LLC's NPI number?

The NPI number for Albertsons LLC is 1669428215. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Safeway Pharmacy #0536.

Q: What is Albertsons LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Albertsons LLC was last updated on January 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 25, 2006CLIA 38D1080623 · Waiver

25691 SE STARK ST, TROUTDALE, OR 97060(503) 667-9003(503) 667-9513 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2023, Apr 3, 2020, Sep 24, 2018 and 1 more (4 updates tracked since 2016).

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About Safeway Pharmacy #0536 NPPES

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

SAFEWAY PHARMACY #0536 (NPI 1669428215) is a healthcare organization registered as a community/retail pharmacy in Troutdale, Oregon and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1669428215

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameALBERTSONS LLC

Location Address25691 SE STARK STTroutdale, OR 97060-3305

Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940

Phone(503) 667-9003

Fax(503) 667-9513

Organization SubpartNo

Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954

Enumeration DateMay 25, 2006

Last NPPES UpdateJanuary 20, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2023

✔ NPI 1669428215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in OR · RP-0001883

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

Also ListedPharmacyTaxonomy 333600000X

25691 SE STARK ST, Troutdale, OR 97060

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Other Names 1

Doing Business AsSafeway Pharmacy #0536

Other Identifiers 2

Medicaid230453OR

Other2079128Pk

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 38D1080623

Safeway Pharmacy #0536 · Troutdale, OR

Active · expires Dec 28, 2026

CLIA Number38D1080623

Laboratory TypePharmacy

Certificate Effective DateDecember 29, 2024

Certificate Expiration DateDecember 28, 2026

Laboratory DirectorCatherine M. Ngo

Laboratory Phone(503) 667-9003

Laboratory LocationSafeway Pharmacy #053625691 SE Stark St, Troutdale, OR 97060

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 #0536 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #0536

DMEPOS supplier · Troutdale, OROperated by Albertsons LLC

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Does not accept Medicare assignment

Safeway Pharmacy #0536 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)20624897

Medicare Participant SinceJanuary 1, 2001

Supplier Location25691 SE Stark StTroutdale, OR 97060

Phone(503) 667-9003

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 8

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

JUNE FEUCHT PHARM.D.

Pharmacist