Organization Active NPI

The Tamarkin Company

Doing business as Giant Eagle Pharmacy 6502

  • Community/Retail Pharmacy
  • Columbus, OH
National Provider Identifier
1124033048
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE TAMARKIN COMPANY
Doing business as
Giant Eagle Pharmacy 6502
Practice address
1000 E Dublin Granville Rd
Columbus, OH 43229-2503
Phone
(614) 416-0381
Fax
(614) 416-0384
NPI assigned
Jul 29, 2006
Last updated
Jun 17, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
GIANT EAGLE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Deborah J Elms
Title
Insurance Contracting & Credentiali
Phone
(412) 967-4775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 021233850 OH
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1000 E Dublin Granville Rd
Columbus, OH 43229-2503

Mailing address

101 Kappa Dr
Pittsburgh, PA 15238-2809

Other identifiers 4

IdentifierTypeStateIssuer
2203341MedicaidOH
RIFV93991OtherOHMEDICARE MASS FLU
3668730OtherOTHER ID NUMBER-COMMERCIAL NUMBER
P00419123OtherOHMEDICARE RAILROAD FLU

Other names 1

  • GIANT EAGLE PHARMACY 6502 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623001229 OH Part B Supplier - Mass Immunization (Roster Biller Only) 3577548452 This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Giant Eagle Pharm 3

Member of 1

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

Locations

1000 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 416-0381

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1124033048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KAPPA DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292503",
            "telephone_number": "614-416-0381",
            "fax_number": "614-416-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TAMARKIN COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GIANT EAGLE INC",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "ELMS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE CONTRACTING & CREDENTIALI",
        "authorized_official_telephone_number": "412-967-4775"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "021233850",
            "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": "2203341",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS FLU",
            "identifier": "RIFV93991",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3668730",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD FLU",
            "identifier": "P00419123",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT EAGLE PHARMACY 6502",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GIANT EAGLE PHARMACY 6502",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.