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SAFEWAY PHARMACY #3173
NPI 1780164582
Pharmacy - Community/Retail Pharmacy in Queen Creek, AZ

Active since August 21, 2018CLIA 03D2158543 · Waiver
40950 N IRONWOOD DR, QUEEN CREEK, AZ 85140(480) 758-3320(480) 758-3325 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2020, Nov 27, 2018, Aug 21, 2018 (3 updates tracked since 2018).

About Safeway Pharmacy #3173 NPPES

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

SAFEWAY PHARMACY #3173 (NPI 1780164582) is a healthcare organization registered as a community/retail pharmacy in Queen Creek, Arizona and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1780164582
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address40950 N IRONWOOD DRQueen Creek, AZ 85140
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(480) 758-3320
Fax(480) 758-3325
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateAugust 21, 2018
Last NPPES UpdateApril 3, 20203 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1780164582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
40950 N IRONWOOD DR, Queen Creek, AZ 85140
Open in Google Maps ↗

Other Names 1

Doing Business AsSafeway Pharmacy #3173

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 03D2158543

Safeway Pharmacy #3173 · Queen Creek, AZ
Active · expires Nov 29, 2026
CLIA Number03D2158543
Laboratory TypePharmacy
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorEvelyn Loong
Laboratory Phone(480) 758-3320
Laboratory LocationSafeway Pharmacy #317340950 N Ironwood Dr, Queen Creek, AZ 85140
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 #3173 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #3173

DMEPOS supplier · Queen Creek, AZOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #3173 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)20467073
Medicare Participant SinceJanuary 1, 2017
Supplier Location40950 N Ironwood DrQueen Creek, AZ 85140
Phone(480) 758-3320
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.

KELLY A XIONG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
40950 N IRONWOOD DR
QUEEN CREEK, AZ 85140
Maricopa County (480) 758-3320
EVELYN LOONG PHARM.D
Pharmacist
40950 N IRONWOOD DR
QUEEN CREEK, AZ 85140
Maricopa County (480) 758-3320
DR. KRIS KENT BAUERNSMITH RPH
Pharmacist
40950 N IRONWOOD DR
QUEEN CREEK, AZ 85140
Maricopa County (480) 758-3316
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
40950 N IRONWOOD DR
QUEEN CREEK, AZ 85140
Maricopa County (480) 758-3320

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 1780164582. It was assigned to this organization in the NPPES registry on August 21, 2018. The provider is doing business as Safeway Pharmacy #3173.

Where is Safeway Inc located?

Safeway Inc is located at 40950 N Ironwood Dr, Queen Creek, AZ 85140. The listed phone number is (480) 758-3320.

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 #3173 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 03D2158543) is associated with this NPI, valid through November 29, 2026. 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 43 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 3, 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.