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SAFEWAY PHARMACY #892
NPI 1790723872
Pharmacy - Community/Retail Pharmacy in Thornton, CO

Active since June 02, 2006CLIA 06D1031866 · Waiver
3840 E 104TH AVE, THORNTON, CO 80233(303) 255-0587(303) 255-0435 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, Oct 8, 2018, Jul 19, 2018 and 3 more (6 updates tracked since 2016).

About Safeway Pharmacy #892 NPPES

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

SAFEWAY PHARMACY #892 (NPI 1790723872) is a healthcare organization registered as a community/retail pharmacy in Thornton, Colorado and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Kathy Giannakopoulos, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1790723872
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address3840 E 104TH AVEThornton, CO 80233-4436
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(303) 255-0587
Fax(303) 255-0435
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollment Manager · (208) 395-3954
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 3, 20206 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1790723872 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 CO · 150000050
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
3840 E 104TH AVE, Thornton, CO 80233
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Other Names 1

Doing Business AsSafeway Pharmacy #892

Other Identifiers 2

Medicaid20030533CO
Other2003279Pk

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 06D1031866

Safeway Pharmacy #0892 · Thornton, CO
Active · expires Nov 14, 2027
CLIA Number06D1031866
Laboratory TypePharmacy
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorKira Eastman
Laboratory Phone(303) 255-0587
Laboratory LocationSafeway Pharmacy #08923840 East 104th Ave, Thornton, CO 80233
CLIA data matches this NPI record on: Address 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 #0892 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #0892

DMEPOS supplier · Thornton, COOperated by Albertsons LLC
⋮

Does not accept Medicare assignment

Safeway Pharmacy #0892 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)20618483
Medicare Participant SinceJanuary 1, 2001
Supplier Location3840 E 104th AveThornton, CO 80233
Phone(303) 255-0587
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.

1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
3840 E 104TH AVE
THORNTON, CO 80233
Adams County (303) 255-0587
LESTER RAY SHINE RPH
Pharmacist
3840 E 104TH AVE
THORNTON, CO 80233
Adams County (303) 255-0587
MEGHANN KOHTZ PHARMD
Pharmacist
3840 E 104TH AVE
THORNTON, CO 80233
Adams County (303) 255-0587

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 1790723872. It was assigned to this organization in the NPPES registry on June 2, 2006. The provider is doing business as Safeway Pharmacy #892.

Where is Albertsons LLC located?

Albertsons LLC is located at 3840 E 104th Ave, Thornton, CO 80233. The listed phone number is (303) 255-0587.

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 #0892 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 06D1031866) is associated with this NPI, valid through November 14, 2027. 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 42 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 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.