Safeway Inc
NPI 1124057153 · Community/Retail Pharmacy · South Lake Tahoe, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Safeway Inc is a Community/Retail Pharmacy organization in South Lake Tahoe, CA (NPI 1124057153).
Provider details
- NPI number
- 1124057153
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tiffany Eliopulos, Assistant Manager, Enrollments(208) 395-3906
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Safeway Pharmacy #1824
- Doing business as
- Safeway Pharmacy #1824
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2018-10-17
Frequently asked questions
- What is Safeway Inc's NPI number?
- Safeway Inc's National Provider Identifier (NPI) is 1124057153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Safeway Inc?
- Safeway Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Safeway Inc located?
- Safeway Inc's practice location on file with NPPES is 1020 Johnson Blvd, South Lake Tahoe, CA 96150-8214.
- What is Safeway Inc's phone number?
- The practice phone number listed in the NPPES registry for Safeway Inc is (530) 542-7744.
- Does Safeway Inc accept Medicare?
- Safeway Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Safeway Inc?
- The authorized official listed on Safeway Inc's NPPES record is Tiffany Eliopulos, Assistant Manager, Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Safeway Inc's NPI active?
- Yes — Safeway Inc's NPI (1124057153) is active in the NPPES registry as of the last update on 2018-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.