1. Home
  2. Directory
  3. California
  4. Mountain House
  5. Pharmacy
  6. NPI Profile

SAFEWAY PHARMACY #0055
NPI 1992441950
Pharmacy - Community/Retail Pharmacy in Mountain House, CA

Active since May 11, 2022CLIA 05D2284229 · Waiver
19555 S MOUNTAIN HOUSE PKWY, MOUNTAIN HOUSE, CA 95391(209) 362-1261(209) 362-1260 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 16, 2022, May 11, 2022 (2 updates tracked since 2022).

About Safeway Pharmacy #0055 NPPES

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

SAFEWAY PHARMACY #0055 (NPI 1992441950) is a healthcare organization registered as a community/retail pharmacy in Mountain House, California and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1992441950
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAFEWAY INC
Location Address19555 S MOUNTAIN HOUSE PKWYMountain House, CA 95391
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Phone(209) 362-1261
Fax(209) 362-1260
Organization SubpartNo
Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954
Enumeration DateMay 11, 2022
Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1992441950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
19555 S MOUNTAIN HOUSE PKWY, Mountain House, CA 95391
Open in Google Maps ↗

Other Names 1

Doing Business AsSafeway Pharmacy #0055

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 05D2284229

Safeway Pharmacy #0055 · Mountain House, CA
Active · expires Jun 19, 2027
CLIA Number05D2284229
Laboratory TypePharmacy
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorBatra Amandeep
Laboratory Phone(209) 362-1260
Laboratory LocationSafeway Pharmacy #005519555 S Mountian House Pkwy, Mountain House, CA 95391
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 9

Medicare supplier enrollment and the product categories Safeway Pharmacy #0055 carries, from the Medicare DMEPOS supplier directory.

Safeway Pharmacy #0055

DMEPOS supplier · Mountain House, CAOperated by Safeway Inc
⋮

Does not accept Medicare assignment

Safeway Pharmacy #0055 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)20466131
Medicare Participant SinceJanuary 1, 2017
Supplier Location19555 S Mountain House PkwyMountain House, CA 95391
Phone(209) 362-1260
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
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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1992441950. It was assigned to this organization in the NPPES registry on May 11, 2022. The provider is doing business as Safeway Pharmacy #0055.

Where is Safeway Inc located?

Safeway Inc is located at 19555 S Mountain House Pkwy, Mountain House, CA 95391. The listed phone number is (209) 362-1261.

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 #0055 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2284229) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 40 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 November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.