SAFEWAY PHARMACY #3319
NPI 1922464015
Pharmacy - Community/Retail Pharmacy in Renton, WA

Q: What is Safeway Inc's NPI number?

The NPI number for Safeway Inc is 1922464015. It was assigned to this organization in the NPPES registry on January 6, 2016. The provider is doing business as Safeway Pharmacy #3319.

Q: What is Safeway Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Safeway Inc was last updated on April 2, 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.

Active since January 06, 2016CLIA 50D2127767 · Waiver

4300 NE 4TH ST, RENTON, WA 98059(425) 873-2091(425) 873-2095 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2020, Oct 8, 2018, Dec 21, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Safeway Pharmacy #3319 NPPES

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

SAFEWAY PHARMACY #3319 (NPI 1922464015) is a healthcare organization registered as a community/retail pharmacy in Renton, Washington and active in the NPI registry since January 2016. 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

NPI1922464015

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSAFEWAY INC

Location Address4300 NE 4TH STRenton, WA 98059-5008

Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896

Phone(425) 873-2091

Fax(425) 873-2095

Organization SubpartNo

Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954

Enumeration DateJanuary 6, 2016

Last NPPES UpdateApril 2, 20204 updates tracked since enumeration

NPPES CertifiedApril 2, 2020

✔ NPI 1922464015 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 WA · PHAR.CF.60627159

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

4300 NE 4TH ST, Renton, WA 98059

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Other Names 1

Doing Business AsSafeway Pharmacy #3319

Other Identifiers 2

Medicaid2058883WA

Other2157372Pk

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 50D2127767

Safeway Pharmacy #3319 · Renton, WA

Active · expires Apr 4, 2028

CLIA Number50D2127767

Laboratory TypePharmacy

Certificate Effective DateMarch 17, 2017

Certificate Expiration DateApril 4, 2028

Laboratory DirectorSusan Tegart

Laboratory Phone(425) 873-2091

Laboratory LocationSafeway Pharmacy #33194300 NE 4th St, Renton, WA 98059

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 #3319 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #3319

DMEPOS supplier · Renton, WAOperated by Safeway Inc

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Does not accept Medicare assignment

Safeway Pharmacy #3319 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)20466551

Medicare Participant SinceJanuary 1, 2017

Supplier Location4300 NE 4th StRenton, WA 98059

Phone(425) 873-2091

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 8

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

DR. AUDREY NEWR EDLER PHARMD

Pharmacist