NPIMap

Organization Active NPI

The Giant Company, LLC

Doing business as Giant Pharmacy 6523

  • Community/Retail Pharmacy
  • Broomall, PA
National Provider Identifier
1154353175
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE GIANT COMPANY, LLC
Doing business as
Giant Pharmacy 6523
Practice address
2180 W Chester Pike
Broomall, PA 19008-3330
Phone
(610) 355-9244
Fax
(610) 355-9142
NPI assigned
Jul 7, 2006
Last updated
Oct 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
AHOLD USA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Nicholas Bertram
Title
President
Phone
(207) 885-7454

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP481171 PA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2180 W Chester Pike
Broomall, PA 19008-3330

Mailing address

PO Box 1000
Portland, ME 04104-5005
Phone (207) 885-7454

Other identifiers 1

IdentifierTypeStateIssuer
3980819OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Giant Pharmacy 6523 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090804000562 TX Part B Supplier - Centralized Flu Biller 2567515851 This NPI is an additional NPI on the enrollment
O20100930018079 PA DME Supplier - PharmacyDME Supplier - Grocery Store 2567515851 Practice locations: Broomall, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
The Giant Company LLC2180 W Chester Pike, Broomall, PA 19008-3330(610) 355-9244 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Ostomy Supplies|Urological Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2019

National Provider Directory

National Provider Directory
Tax ID family
Giant Food Stores LLC134 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2180 W Chester Pike
Broomall, PA 19008
Phone (610) 355-9244

2910 Springfield Rd
Broomall, PA 19008

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1154353175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045005",
            "telephone_number": "207-885-7454",
            "fax_number": "704-645-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 W CHESTER PIKE",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083330",
            "telephone_number": "610-355-9244",
            "fax_number": "610-355-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GIANT COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLD USA INC",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-885-7454"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481171",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3980819",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giant Pharmacy 6523",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.