1. Home
  2. Directory
  3. Virginia
  4. Dale City
  5. Pharmacy
  6. NPI Profile

SAFEWAY PHARMACY #1702
NPI 1730118746
Pharmacy - Community/Retail Pharmacy in Dale City, VA

Active since July 02, 2006CLIA 49D2249387 · Waiver
4215 CHESHIRE STATION PLZ, DALE CITY, VA 22193(703) 590-8021(703) 590-6702 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2022, Sep 27, 2018 (2 updates tracked since 2018).

About Safeway Pharmacy #1702 NPPES

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

SAFEWAY PHARMACY #1702 (NPI 1730118746) is a healthcare organization registered as a community/retail pharmacy in Dale City, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 19, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1730118746
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNAI SATURN EASTERN LLC
Location Address4215 CHESHIRE STATION PLZDale City, VA 22193-2217
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940 · (847) 916-4463 · Fax (847) 916-4736
Phone(703) 590-8021
Fax(703) 590-6702
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 2, 2006
Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1730118746 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 VA · 0201003797
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
4215 CHESHIRE STATION PLZ, Dale City, VA 22193
Open in Google Maps ↗

Other Names 1

Doing Business AsSafeway Pharmacy #1702

Other Identifiers 2

Medicaid8515506VA
Other2150037Pk

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 49D2249387

Safeway Pharmacy #1702 · Woodbridge, VA
Active · expires Jan 19, 2028
CLIA Number49D2249387
Laboratory TypePharmacy
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorAndrew Chayasriwong
Laboratory Phone(703) 590-8021
Laboratory LocationSafeway Pharmacy #17024215 Cheshire Station Plaza, Woodbridge, VA 22193
CLIA data matches this NPI record on: 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 Nai Saturn Eastern LLC carries, from the Medicare DMEPOS supplier directory.

Nai Saturn Eastern LLC

DMEPOS supplier · Dale City, VA
⋮

Does not accept Medicare assignment

Nai Saturn Eastern LLC 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)20484407
Medicare Participant SinceMarch 9, 2015
Supplier Location4215 Cheshire Station PlzDale City, VA 22193
Phone(703) 590-8021
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 2

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

MAI XUAN DAM RPH
Pharmacist
4215 CHESHIRE STATION PLZ
DALE CITY, VA 22193
Prince William County (703) 590-8021
HYE JULIE KIM
Pharmacist
4215 CHESHIRE STATION PLZ
WOODBRIDGE, VA 22193
Prince William County (703) 590-8021

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 1730118746. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #1702.

Where is Nai Saturn Eastern LLC located?

Nai Saturn Eastern LLC is located at 4215 Cheshire Station Plz, Dale City, VA 22193. The listed phone number is (703) 590-8021.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Nai Saturn Eastern LLC 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 Nai Saturn Eastern LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2249387) is associated with this NPI, valid through January 19, 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 November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.