Nai Saturn Eastern LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NAI SATURN EASTERN LLC

Doing business as

Safeway Pharmacy

Practice address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Phone

(208) 395-6200

NPI assigned

Nov 4, 2014

Last updated

Apr 24, 2020By the provider in NPPES

Organization subpart

No

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 3

Addresses

Other names 1

• SAFEWAY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Nai Saturn Eastern LLC156 organizations share this tax ID, including this one

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Albertsons LLC

  dba Sav-On Pharmacy #3174

  • Community/Retail Pharmacy
  • Ammon, ID
  • NPI 1922055383

  Member Of

  NPD member
• Safeway Inc

  dba Safeway Phamracy #4837

  • Community/Retail Pharmacy
  • District Heights, MD
  • NPI 1588600191

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1538565478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742382",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063940",
            "telephone_number": "208-395-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAI SATURN EASTERN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFEWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Nadolny, M.D.
• Nancy Nadolski, NP
• Michael P Naeve, MD
• Heidi Louise Nagel, M.S., C.G.C.
• Mary E. Nagle, M.D.
• Vinmanathan Naidoo, PHARMD
• Tylee Naillon
• Jessica Denae Naini
• Najax LLC
• Najax LLC

• Community/Retail Pharmacy in Boise, ID
• Providers in Boise, ID by specialty
• Community/Retail Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.