Giant Food Stores LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GIANT FOOD STORES LLC

Doing business as

GIANT PHARMACY #6305

Practice address

16001606 Nay Aug Avenue
Scranton, PA 18509

Phone

(570) 343-7940

Fax

(570) 343-8827

NPI assigned

Jul 7, 2006

Organization subpart

Yes

Parent organization

AHOLD USA INCAs reported in NPPES

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

Authorized official

Name

Leigh Shirley

Title

Vice President Pharmacy

Phone

(717) 240-1506

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GIANT PHARMACY #6305 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ahold USA

  • Pharmacist
  • Carlisle, PA
  • NPI 1831550375
  NPPES parent name

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1083646004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 HARRISBURG PIKE",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001606 NAY AUG AVENUE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18509",
            "telephone_number": "570-343-7940",
            "fax_number": "570-343-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT FOOD STORES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLD USA INC",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "VICE PRESIDENT PHARMACY",
        "authorized_official_telephone_number": "717-240-1506"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415786L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007302990167",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3979044",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT PHARMACY #6305",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Giacometti, MD
• Albert F Giallorenzi, DMD
• Mark A Giallorenzi, DMD
• Tina Giannetta, PT
• Rachel Giannotti, MD
• Kathryn Gloria Gibbons, M.D.
• Gary Gifford, PT/DPT
• John Giglio, CRNA
• Kaitlin Gilbert, OD
• Karen Gilchrist

• Community/Retail Pharmacy in Scranton, PA
• Providers in Scranton, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.