Organization Active NPI

Giant Eagle Long Term Care, LLC

Doing business as Giant Eagle LTC Pharmacy

  • Long Term Care Pharmacy
  • Greensburg, PA
National Provider Identifier
1083380661
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

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.

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

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.

Verify at the official NPI Registry.