NPIMap

Organization Active NPI

Nai Saturn Eastern LLC

  • Community/Retail Pharmacy
  • Alexandria, VA
National Provider Identifier
1821027830
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201003780 Issued in VA
Legal business name
NAI SATURN EASTERN LLC
Doing business as
Safeway Pharmacy #1847
Practice address
5980 Kingstowne Towne Ctr
Alexandria, VA 22315-5876
Phone
(703) 921-3127
Fax
(703) 921-3131
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sunny Yost
Title
Asst MGR, Third Party Implementatio
Phone
(208) 395-3920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 0201003780 VA Primary

Addresses

Primary practice location

5980 Kingstowne Towne Ctr
Alexandria, VA 22315-5876

Mailing address

250 E Parkcenter Blvd
Mailstop Sec2-B
Boise, ID 83706-3940
Phone (847) 916-4463

Other identifiers 2

IdentifierTypeStateIssuer
2150027OtherPK
8513767MedicaidVA

Other names 1

  • Safeway Pharmacy #1847 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040819001277 TX Part B Supplier - Centralized Flu Biller 8628980299 This NPI is an additional NPI on the enrollment
Practice locations: Boise, ID
O20150415002415 VA DME Supplier - PharmacyDME Supplier - Grocery Store 4284952185 Practice locations: Alexandria, 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
49D2072780Safeway Pharmacy #18475980 Kingstowne Center, Alexandria, VA 22315Certificate of waiverFeb 4, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Safeway Pharmacy #18475980 Kingstowne Towne Ctr, Alexandria, VA 22315-5876(703) 921-3127 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 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

Member of 5

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

Locations

5980 Kingstowne Towne Ctr
Alexandria, VA 22315
Phone (703) 921-3125

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1821027830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "address_2": "MAILSTOP SEC2-B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063940",
            "telephone_number": "847-916-4463",
            "fax_number": "847-916-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 KINGSTOWNE TOWNE CTR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155876",
            "telephone_number": "703-921-3127",
            "fax_number": "703-921-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAI SATURN EASTERN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "ASST MGR, THIRD PARTY IMPLEMENTATIO",
        "authorized_official_telephone_number": "208-395-3920"
    },
    "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": "VA",
            "license": "0201003780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150027",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8513767",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safeway Pharmacy #1847",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.