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SAFEWAY PHARMACY #3542
NPI 1821443631
Pharmacy - Community/Retail Pharmacy in Tigard, OR

Active since April 29, 2016CLIA 38D1080545 · Waiver
14300 SW BARROWS RD, TIGARD, OR 97223(503) 590-0411(503) 590-3804 Get Directions Write a Review

NPPES record last updated: September 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 3, 2018, Aug 15, 2016, Aug 12, 2016 and 1 more (4 updates tracked since 2016).

About Safeway Pharmacy #3542 NPPES

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

SAFEWAY PHARMACY #3542 (NPI 1821443631) is a healthcare organization registered as a community/retail pharmacy in Tigard, Oregon and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Kathy Giannakopoulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1821443631
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameALBERTSONS LLC
Location Address14300 SW BARROWS RDTigard, OR 97223-2063
Mailing Address250 E Parkcenter Blvd, Ms Sec2-bBoise, ID 83706-3940 · (208) 395-3906 · Fax (623) 336-6896
Phone(503) 590-0411
Fax(503) 590-3804
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosAssistant Manager, Enrollments · (208) 395-3954
Enumeration DateApril 29, 2016
Last NPPES UpdateSeptember 23, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2023
✔ NPI 1821443631 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 OR · RP-0001617
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
14300 SW BARROWS RD, Tigard, OR 97223
Open in Google Maps ↗

Other Names 1

Doing Business AsSafeway Pharmacy #3542

Other Identifiers 2

Other2160032Pk
Medicaid1821443631OR

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 38D1080545

Safeway Pharmacy #3542 · Tigard, OR
Active · expires Dec 20, 2026
CLIA Number38D1080545
Laboratory TypePharmacy
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorRonnie L. Pickering
Laboratory Phone(503) 590-0411
Laboratory LocationSafeway Pharmacy #354214300 SW Barrows Rd, Tigard, OR 97223
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 #3542 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #3542

DMEPOS supplier · Tigard, OROperated by Albertsons LLC
⋮

Does not accept Medicare assignment

Safeway Pharmacy #3542 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)20621621
Medicare Participant SinceJanuary 1, 2001
Supplier Location14300 SW Barrows RdTigard, OR 97223
Phone(503) 590-0411
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.

KEVIN MAZA PHARM.D.
Pharmacist
14300 SW BARROWS RD
TIGARD, OR 97223
Washington County (503) 590-4697
BONNIE SMITH
Pharmacist
14300 SW BARROWS RD
TIGARD, OR 97223
Washington County (503) 590-4697
JEFFREY WASSOUF PHARM. D.
Pharmacist
14300 SW BARROWS RD
TIGARD, OR 97223
Washington County (503) 590-4697

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 1821443631. It was assigned to this organization in the NPPES registry on April 29, 2016. The provider is doing business as Safeway Pharmacy #3542.

Where is Albertsons LLC located?

Albertsons LLC is located at 14300 SW Barrows Rd, Tigard, OR 97223. The listed phone number is (503) 590-0411.

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 #3542 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 38D1080545) is associated with this NPI, valid through December 20, 2026. 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 September 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.