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SAFEWAY PHARMACY #1413
NPI 1760438279
Pharmacy - Community/Retail Pharmacy in Mill Creek, WA

Active since May 26, 2006CLIA 50D1034877 · Waiver
3322 132ND ST SE, MILL CREEK, WA 98012(425) 338-1891(425) 338-2863 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2020, Oct 26, 2018, Jan 11, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #1413 NPPES

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

SAFEWAY PHARMACY #1413 (NPI 1760438279) is a healthcare organization registered as a community/retail pharmacy in Mill Creek, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1760438279
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address3322 132ND ST SEMill Creek, WA 98012-5654
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(425) 338-1891
Fax(425) 338-2863
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateMay 26, 2006
Last NPPES UpdateSeptember 13, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2023
✔ NPI 1760438279 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 WA · PHAR.CF.60342805
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
3322 132ND ST SE, Mill Creek, WA 98012
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Other Names 1

Doing Business AsSafeway Pharmacy #1413

Other Identifiers 2

Other2110402Pk
Medicaid6019723WA

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 50D1034877

Safeway Pharmacy #1413 · Mill Creek, WA
Active · expires Apr 4, 2028
CLIA Number50D1034877
Laboratory TypePharmacy
Certificate Effective DateDecember 15, 2004
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan M. Tegart
Laboratory Phone(425) 338-1891
Laboratory LocationSafeway Pharmacy #14133322 132nd St SE, Mill Creek, WA 98012
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 12

Medicare supplier enrollment and the product categories Safeway Pharmacy #1413 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1413

DMEPOS supplier · Mill Creek, WAOperated by Albertsons LLC
⋮

Does not accept Medicare assignment

Safeway Pharmacy #1413 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)20623991
Medicare Participant SinceJanuary 1, 2001
Supplier Location3322 132nd St SEMill Creek, WA 98012
Phone(425) 338-1891
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 3

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

MRS. MARISEL PRETORIUS
Pharmacist
3322 132ND ST SE
MILL CREEK, WA 98012
Snohomish County (425) 338-1891
SAVON PHARMACY
Community/Behavioral Health
3322 132ND ST SE
MILL CREEK, WA 98012
Snohomish County (425) 388-1891
TARA LYNN MACK RPH
Pharmacist
3322 132ND ST SE
MILL CREEK, WA 98012
Snohomish County (425) 338-1891

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 Albertsons LLC's NPI number?

The NPI number for Albertsons LLC is 1760438279. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Safeway Pharmacy #1413.

Where is Albertsons LLC located?

Albertsons LLC is located at 3322 132nd St SE, Mill Creek, WA 98012. The listed phone number is (425) 338-1891.

What is Albertsons LLC's specialty?

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

Does Albertsons LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Safeway Pharmacy #1413 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 Albertsons LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1034877) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Albertsons 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 43 other insurers list Albertsons 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 Albertsons LLC was last updated on September 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.