SAFEWAY PHARMACY #0422
NPI 1881623817
Pharmacy - Community/Retail Pharmacy in Puyallup, WA

Active since July 02, 2006CLIA 50D2050621 · Waiver
611 S MERIDIAN, PUYALLUP, WA 98371(253) 841-1534(253) 840-3744 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2020, Oct 2, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #0422 NPPES

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

SAFEWAY PHARMACY #0422 (NPI 1881623817) is a healthcare organization registered as a community/retail pharmacy in Puyallup, Washington and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1881623817
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address611 S MERIDIANPuyallup, WA 98371-5907
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Fax(253) 840-3744
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateMarch 12, 20203 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
NPI 1881623817 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 WA · PHAR.CF.60515436
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
611 S MERIDIAN, Puyallup, WA 98371

Other Names 1

Doing Business AsSafeway Pharmacy #0422

Other Identifiers 2

Medicaid6022685WA
Other2110621Pk

Accepted 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 50D2050621

Safeway Pharmacy 0422 · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D2050621
Laboratory TypePharmacy
Certificate Effective DateDecember 3, 2012
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan Tegart
Laboratory Phone(253) 841-1534
Laboratory LocationSafeway Pharmacy 0422611 S Meridian, Puyallup, WA 98371
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

The provider carries the following medical supplies product categories:

PTAN
20465639
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • 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
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles

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.

Pharmacist
611 S MERIDIAN
PUYALLUP, WA 98371
Pharmacist
611 S MERIDIAN
PUYALLUP, WA 98371
Pharmacist
611 S MERIDIAN
PUYALLUP, WA 98371
Pharmacy (Community/Retail Pharmacy)
611 S MERIDIAN
PUYALLUP, WA 98371

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881623817, enumerated as an "organization" on July 02, 2006.

The provider is located at 611 S MERIDIAN PUYALLUP, WA 98371 and the phone number is (253) 841-1534.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arizona. Please consult your insurance carrier or call the provider to verify.