Maryland Grocery Store Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MARYLAND GROCERY STORE COMPANY

Practice address

1275 W Patrick St
Frederick, MD 21702-4886

Phone

(301) 668-8717

Fax

(301) 360-0513

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Anne Zmarzly

Title

Pharmacy Managed Care Credentialing

Phone

(412) 968-1529

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• GIANT EAGLE PHARMACY 1841 Doing business as

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Maryland Grocery Store Company

  • Community/Retail Pharmacy
  • Frederick, MD
  • NPI 1407867641

  0840702916

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Maryland Grocery Store Company

  • Community/Retail Pharmacy
  • Frederick, MD
  • NPI 1407867641

  O20251125000338

  Same enrollment

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

Tax ID family

Giant Eagle Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Maryland Grocery Store Company

  • Community/Retail Pharmacy
  • Frederick, MD
  • NPI 1407867641
  NPD tax ID
• Maryland Grocery Store Company

  • Community/Retail Pharmacy
  • Cranberry Township, PA
  • NPI 1487478798
  NPD tax ID

Member of 2

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

• Riser Foods Company

  • Community/Retail Pharmacy
  • Lakewood, OH
  • NPI 1669529046

  Member Of

  NPD member
• The Tamarkin Company

  • Community/Retail Pharmacy
  • North Canton, OH
  • NPI 1053327494

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1083629992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643559",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152643559",
            "telephone_number": "412-963-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024886",
            "telephone_number": "301-668-8717",
            "fax_number": "301-360-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND GROCERY STORE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "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": "PHARMACY MANAGED CARE CREDENTIALING",
        "authorized_official_telephone_number": "412-968-1529"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P02508",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2126224",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699375300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD FLU GIANT EAGLE MARYLAND",
            "identifier": "870021414",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT EAGLE PHARMACY 1841",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryland CVS Pharmacy, L.L.C.
• Maryland CVS Pharmacy, L.L.C.
• Maryland Dental Affiliates, P.C.
• Maryland Family Care, Inc.
• Maryland Family Health Services, LLC
• Maryland Grocery Store Company
• Maryland Home Care Solutions, Inc.
• Maryland Medical Services LLC
• Maryland Medical Services LLC
• Maryland Nutrition and Diet Services, L.L.C.

• Community/Retail Pharmacy in Frederick, MD
• Providers in Frederick, MD by specialty
• Community/Retail Pharmacy in Maryland

• 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.
• 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.