Active NPI
Nai Saturn Eastern LLC
- Community/Retail Pharmacy
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NAI SATURN EASTERN LLC
- Practice address
- 9622 Main St
Fairfax, VA 22031-3733 - Phone
- (208) 395-6200
- NPI assigned
- Oct 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Giannakopoulos
- Title
- Enrollments Manager
- Phone
- (208) 395-3954
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
9622 Main St
Fairfax, VA 22031-3733
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other names 1
- Safeway Pharmacy #0075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220912000496 | VA | DME Supplier - Pharmacy | 4284952185 | Practice locations: Fairfax, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2291495 | Safeway Pharmacy #0075 | Certificate of waiver | Oct 10, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Nai Saturn Eastern LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Nai Saturn Eastern LLC
Organizations with this tax ID in the same state 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Fairfax, VA
- NPI 1003845017
-
- Community/Retail Pharmacy
- Burke, VA
- NPI 1063443869
-
- Community/Retail Pharmacy
- Bristow, VA
- NPI 1083650683
-
- Community/Retail Pharmacy
- Fairfax, VA
- NPI 1134165756
-
- Community/Retail Pharmacy
- Reston, VA
- NPI 1154352953
-
- Community/Retail Pharmacy
- Falls Church, VA
- NPI 1154636371
-
- Community/Retail Pharmacy
- Fairfax, VA
- NPI 1225074842
-
- Community/Retail Pharmacy
- Annandale, VA
- NPI 1275784431
-
- Community/Retail Pharmacy
- Reston, VA
- NPI 1316983935
-
- Community/Retail Pharmacy
- Alexandria, VA
- NPI 1326084955
-
- Community/Retail Pharmacy
- Herndon, VA
- NPI 1376572388
-
- Community/Retail Pharmacy
- Alexandria, VA
- NPI 1407892029
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations (25 of 27)
3830 Georgia Ave NW
Washington, DC 20011
Phone (202) 291-0892
1855 Wisconsin Ave NW
#2912
Washington, DC 20007
Phone (202) 333-6048
4203 Davenport St NW
Washington, DC 20016
Phone (202) 364-0292
6500 Piney Branch Rd NW
Washington, DC 20012
Phone (202) 723-5612
1781 Forest Dr
Annapolis, MD 21401
Phone (410) 626-2716
5000 Bradley Blvd
Bethesda, MD 20815
Phone (301) 654-4169
7625 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 907-3330
12410 Fairwood Pkwy
Bowie, MD 20720
Phone (301) 867-0345
15916 Crain Hwy
Brandywine, MD 20613
Phone (301) 242-6264
3129 Marshall Hall Rd
Bryans Road, MD 20616
Phone (301) 283-3132
14100 Baltimore Ave
Laurel, MD 20707
Phone (301) 490-7373
8858 Waltham Woods Rd
Parkville, MD 21234
Phone (410) 882-8822
80 W Dares Beach Rd
Prince Frederick, MD 20678
Phone (410) 414-7404
1800 Rockville Pike
Ste S
Rockville, MD 20852
Phone (301) 945-3610
540 Benfield Rd
Severna Park, MD 21146
Phone (410) 384-1633
13814 Outlet Dr
Silver Spring, MD 20904
Phone (301) 890-7015
116 University Blvd W
Silver Spring, MD 20901
Phone (301) 593-8092
11201 Georgia Ave
Wheaton, MD 20902
Phone (301) 933-4684
7451 Mount Vernon Square Ctr
Alexandria, VA 22306
Phone (703) 340-1037
12821 Braemar Village Plz
Bristow, VA 20136
Phone (703) 257-0436
9622 Main St
Fairfax, VA 22031
Phone (703) 667-2421
5821 Crossroads Ctr
Falls Church, VA 22041
Phone (703) 533-3802
2304 Hunters Woods Plz
Reston, VA 20191
Phone (703) 716-4203
11120 South Lakes Dr
Reston, VA 20191
Phone (703) 620-2444
30 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 430-4355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635379200000",
"number": "1326702010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E PARKCENTER BLVD",
"city": "BOISE",
"state": "ID",
"postal_code": "837063940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9622 MAIN ST",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313733",
"telephone_number": "208-395-6200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAI SATURN EASTERN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-10-08",
"status": "A",
"authorized_official_last_name": "GIANNAKOPOULOS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "ENROLLMENTS MANAGER",
"authorized_official_telephone_number": "208-395-3954"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Safeway Pharmacy #0075",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.