Active NPI
Giant Eagle Long Term Care, LLC
Doing business as Giant Eagle LTC Pharmacy
- Long Term Care Pharmacy
- Greensburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- GIANT EAGLE LONG TERM CARE, LLC
- Doing business as
- Giant Eagle LTC Pharmacy
- Practice address
- 6204 State Route 30 Ste a
Greensburg, PA 15601-6399 - Phone
- (724) 836-6779
- Fax
- (412) 968-9359
- NPI assigned
- Aug 23, 2021
- Last updated
- Aug 17, 2026
- Organization subpart
- No
NPPES NPI Registry
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 Licensing and Credenti
- Phone
- (412) 968-1529
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
6204 State Route 30 Ste a
Greensburg, PA 15601-6399
Mailing address
700 Cranberry Woods Dr
Cranberry TWP, PA 16066-5213
Phone (412) 963-6200
Other names 1
- Giant Eagle LTC Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211220002737 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224429584 | Practice locations: Greensburg, PA |
| O20211229000446 | PA | DME Supplier - Pharmacy | 8224429584 | Practice locations: Greensburg, PA |
National Provider Directory
National Provider Directory- Tax ID family
- Giant Eagle Long Term Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Cranberry TWP, PA
- NPI 1447919550
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Giant Eagle Pharmacy # 84
- Community/Retail Pharmacy
- Du Bois, PA
- NPI 1306166715
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- North Huntingdon, PA
- NPI 1679178156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1083380661",
"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": "412-963-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6204 STATE ROUTE 30 STE A",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016399",
"telephone_number": "724-836-6779",
"fax_number": "412-968-9359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIANT EAGLE LONG TERM CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-23",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "ZMARZLY",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "MANAGED CARE LICENSING AND CREDENTI",
"authorized_official_telephone_number": "412-968-1529"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Giant Eagle LTC Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greensburg, PA
- Emma Gernhardt
- Ashley Jane Gess, PTA
- Alexandra Giallourakis, ATC
- Julia Nicole Giannilli, LPC
- Giant Eagle Inc (Giant Eagle Pharmacy 9)
- Giant Eagle, Inc (Giant Eagle Pharmacy #0081)
- Giant Eagle, Inc. (Giant Eagle Pharmacy LTC #0249)
- Jordan Thomas Gibson, MOT, OTR/L
- Leslie Suzanne Gibson, OD
- Margaret Gibson, CACD, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.