Organization Active NPI

Nai Saturn Eastern LLC

  • Community/Retail Pharmacy
  • Fairfax, VA
National Provider Identifier
1326702010
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Oct 28, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220912000496 VA DME Supplier - PharmacyDME Supplier - Grocery Store 4284952185 Practice locations: Fairfax, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2291495Safeway Pharmacy #00759622 Main St, Fairfax, VA 22031Certificate of waiverOct 10, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Nai Saturn Eastern LLC9622 Main St, Fairfax, VA 22031-3733(703) 995-5640 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 assignmentParticipating since Mar 9, 2015

National Provider Directory

National Provider Directory
Tax ID family
Nai Saturn Eastern LLC156 organizations share this tax ID, including this one

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.

View all 22

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.

Verify at the official NPI Registry.