SAFEWAY PHARMACY #2616
NPI 1891731493
Pharmacy - Community/Retail Pharmacy in Fairfax, VA

Active since June 21, 2006CLIA 49D2012309 · Waiver
3043 NUTLEY ST, FAIRFAX, VA 22031(703) 269-2244(703) 269-2246 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Safeway Pharmacy #2616 NPPES

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

SAFEWAY PHARMACY #2616 (NPI 1891731493) is a healthcare organization registered as a community/retail pharmacy in Fairfax, Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1891731493
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNAI SATURN EASTERN LLC
Location Address3043 NUTLEY STFairfax, VA 22031-1931
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940 · (847) 916-4463 · Fax (847) 916-4736
Fax(703) 269-2246
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 27, 2018
NPI 1891731493 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 VA · 0201004021
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
3043 NUTLEY ST, Fairfax, VA 22031

Other Names 1

Doing Business AsSafeway Pharmacy #2616

Other Identifiers 2

Other2150050Pk
Medicaid010153972VA

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 49D2012309

Safeway Inc (pharmacy 2616) · Fairfax, VA
Active · expires Aug 31, 2026
CLIA Number49D2012309
Laboratory TypePharmacy
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKrista Hein
Laboratory Phone(703) 269-2244
Laboratory LocationSafeway Inc (pharmacy 2616)3043 Nutley Street, Fairfax, VA 22031
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 # 2616 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy # 2616

DMEPOS supplier · Fairfax, VAOperated by Nai Saturn Eastern LLC

Does not accept Medicare assignment

Safeway Pharmacy # 2616 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)20484623
Medicare Participant SinceMarch 9, 2015
Supplier Location3043 Nutley StFairfax, VA 22031
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 2

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

Pharmacist
3043 NUTLEY ST
FAIRFAX, VA 22031
Pharmacist
3043 NUTLEY ST
FAIRFAX, VA 22031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891731493, enumerated as an "organization" on June 21, 2006.

The provider is located at 3043 NUTLEY ST FAIRFAX, VA 22031 and the phone number is (703) 269-2244.

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.