NPIMap

Organization Active NPI

Giant Eagle Inc

Doing business as Giant Eagle Pharmacy #1665

  • Community/Retail Pharmacy
  • Cranberry TWP, PA
National Provider Identifier
1013928241
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP414094L Issued in PA
Legal business name
GIANT EAGLE INC
Doing business as
Giant Eagle Pharmacy #1665
Practice address
20111 Route 19
Cranberry TWP, PA 16066
Phone
(724) 772-7420
Fax
(724) 772-7471
NPI assigned
Aug 11, 2006
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Kelly Anne Zmarzly
Title
Managed Care Credentialing Coordina
Phone
(412) 968-1529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP414094L PA Primary

Addresses

Primary practice location

20111 Route 19
Cranberry TWP, PA 16066

Mailing address

700 Cranberry Woods Dr
Cranberry TWP, PA 16066-5213
Phone (412) 968-1529

Other identifiers 2

IdentifierTypeStateIssuer
870021414OtherPAMEDICARE RAILROAD FLU GIANT EAGLE PA
1007285680286MedicaidPA

Other names 1

  • Giant Eagle Pharmacy #1665 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061213000490 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8921083049 This NPI is an additional NPI on the enrollment
O20100930052278 PA DME Supplier - PharmacyDME Supplier - Grocery Store 8921083049 Practice locations: Cranberry Township, PA

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Giant Eagle Inc20111 Route 19, Cranberry Township, PA 16066-6207(412) 772-7420 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Ostomy Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Giant Eagle Pharm 61107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

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

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1013928241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CRANBERRY WOODS DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665213",
            "telephone_number": "412-968-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20111 ROUTE 19",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "16066",
            "telephone_number": "724-772-7420",
            "fax_number": "724-772-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT EAGLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "ZMARZLY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGED CARE CREDENTIALING COORDINA",
        "authorized_official_telephone_number": "412-968-1529"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP414094L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD FLU GIANT EAGLE PA",
            "identifier": "870021414",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007285680286",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giant Eagle Pharmacy #1665",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.