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SAFEWAY PHARMACY #1645
NPI 1942239967
Pharmacy - Community/Retail Pharmacy in Lakewood, WA

Active since July 02, 2006CLIA Certified · 2 labs
10223 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499(253) 581-7181(253) 588-3658 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2020, Sep 27, 2018, Dec 21, 2016 (3 updates tracked since 2016).

About Safeway Pharmacy #1645 NPPES

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

SAFEWAY PHARMACY #1645 (NPI 1942239967) is a healthcare organization registered as a community/retail pharmacy in Lakewood, Washington and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1942239967
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address10223 GRAVELLY LAKE DR SWLakewood, WA 98499-5004
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940 · (208) 395-3963 · Fax (623) 336-6896
Phone(253) 581-7181
Fax(253) 588-3658
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateJuly 2, 2006
Last NPPES UpdateMarch 11, 20203 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1942239967 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.60517907
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
10223 GRAVELLY LAKE DR SW, Lakewood, WA 98499
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Other Names 1

Doing Business AsSafeway Pharmacy #1645

Other Identifiers 2

Other2108957Pk
Medicaid6010144WA

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 2

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 50D2053414

Safeway Pharmacy 1645 · Lakewood, WA
Active · expires Apr 4, 2028
CLIA Number50D2053414
Laboratory TypePharmacy
Certificate Effective DateJanuary 31, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan M. Tegart
Laboratory Phone(253) 581-7181
Laboratory LocationSafeway Pharmacy 164510223 Gravelly Lake Dr SW, Lakewood, WA 98499
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2127759

Safeway Pharmacy 3411 · Lakewood, WA
Active · expires Apr 4, 2028
CLIA Number50D2127759
Laboratory TypePharmacy
Certificate Effective DateMarch 17, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSusan Tegart
Laboratory Phone(253) 582-0648
Laboratory LocationSafeway Pharmacy 34118611 Steilacoom Blvd SW, Lakewood, WA 98498
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Safeway Pharmacy #1645 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #1645

DMEPOS supplier · Tacoma, WAOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #1645 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)20463713
Medicare Participant SinceJanuary 1, 2017
Supplier Location10223 Gravelly Lake Dr SWTacoma, WA 98499
Phone(253) 581-7181
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 4

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

LAURA KIM
Pharmacist
10223 GRAVELLY LAKE DR SW
TACOMA, WA 98499
Pierce County (253) 581-2072
MR. HUI K CHANG RPH
Pharmacist
10223 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 581-7181
AHYOUNG CHANG
Pharmacist
10223 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 581-7181
MRS. CLAIRE MARIE TORRES SONGCO RPH
Pharmacist
10223 GRAVELLY LAKE DR SW
TACOMA, WA 98499
Pierce County (253) 531-7181

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 Safeway Inc's NPI number?

The NPI number for Safeway Inc is 1942239967. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Safeway Pharmacy #1645.

Where is Safeway Inc located?

Safeway Inc is located at 10223 Gravelly Lake Dr SW, Lakewood, WA 98499. The listed phone number is (253) 581-7181.

What is Safeway Inc's specialty?

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

Does Safeway Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Safeway Pharmacy #1645 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 Safeway Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Safeway Inc 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 Safeway Inc 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 Safeway Inc was last updated on March 11, 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.