SAFEWAY PHARMACY #1417
NPI 1922037936
Pharmacy - Community/Retail Pharmacy in Great Falls, VA

Active since July 02, 2006CLIA 49D2072776 · Waiver
9881 GEORGETOWN PIKE, GREAT FALLS, VA 22066(703) 759-3837(703) 759-4381 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Safeway Pharmacy #1417 NPPES

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

SAFEWAY PHARMACY #1417 (NPI 1922037936) is a healthcare organization registered as a community/retail pharmacy in Great Falls, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1922037936
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNAI SATURN EASTERN LLC
Location Address9881 GEORGETOWN PIKEGreat Falls, VA 22066-2617
Mailing Address250 E Parkcenter Blvd, Mailstop Sec2-bBoise, ID 83706-3940 · (847) 916-4463 · Fax (847) 916-4736
Fax(703) 759-4381
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 2, 2006
Last NPPES UpdateSeptember 27, 2018
NPI 1922037936 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 · 0201002769
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
9881 GEORGETOWN PIKE, Great Falls, VA 22066

Other Names 1

Doing Business AsSafeway Pharmacy #1417

Other Identifiers 2

Other2150029Pk
Medicaid8535892VA

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 49D2072776

Safeway Pharmacy #1417 · Great Falls, VA
Active · expires Feb 4, 2028
CLIA Number49D2072776
Laboratory TypePharmacy
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorKrista Hein
Laboratory Phone(703) 759-3837
Laboratory LocationSafeway Pharmacy #14179881 Georgetown Pike, Great Falls, VA 22066
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 #1417 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1417

DMEPOS supplier · Great Falls, VAOperated by Nai Saturn Eastern LLC

Does not accept Medicare assignment

Safeway Pharmacy #1417 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)20484827
Medicare Participant SinceMarch 9, 2015
Supplier Location9881 Georgetown PikeGreat Falls, VA 22066
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.

Pharmacist
9881 GEORGETOWN PIKE
GREAT FALLS, VA 22066
Pharmacist
9881 GEORGETOWN PIKE
GREAT FALLS, VA 22066
Pharmacist
9881 GEORGETOWN PIKE
GREAT FALLS, VA 22066

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 Nai Saturn Eastern LLC's NPI number?

The NPI number for Nai Saturn Eastern LLC is 1922037936. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #1417.

Where is Nai Saturn Eastern LLC located?

Nai Saturn Eastern LLC is located at 9881 Georgetown Pike, Great Falls, VA 22066. The listed phone number is (703) 759-3837.

What is Nai Saturn Eastern LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Nai Saturn Eastern LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Safeway Pharmacy #1417 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 Nai Saturn Eastern LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2072776) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nai Saturn Eastern 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 Nai Saturn Eastern 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 Nai Saturn Eastern LLC was last updated on September 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.