Active NPI
The Giant Company, LLC
- Community/Retail Pharmacy
- Altoona, PA
National Provider Identifier
1184656100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- THE GIANT COMPANY, LLC
- Practice address
- 2032 E Pleasant Valley Blvd
Altoona, PA 16602-7515 - Phone
- (814) 944-9998
- Fax
- (814) 944-8419
- NPI assigned
- Jul 7, 2006
- Organization subpart
- Yes
- Parent organization
- THE GIANT COMPANY, LLC
NPPES NPI Registry
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | PP414025L | PA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2032 E Pleasant Valley Blvd
Altoona, PA 16602-7515
Mailing address
1149 Harrisburg Pike
Carlisle, PA 17013-1607
Phone (717) 240-5520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007302990104 | Medicaid | PA | |
| 3977139 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- MARTINS PHARMACY #6012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090804000562 | TX | Part B Supplier - Centralized Flu Biller | 2567515851 | This NPI is an additional NPI on the enrollment |
| O20100930078963 | PA | DME Supplier - Pharmacy | 2567515851 | Practice locations: Altoona, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Martins Pharmacy 6012 | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Giant Food Stores LLC
- Part of
- Giant Food Stores LLC
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.
-
- Community/Retail Pharmacy
- Springfield, PA
- NPI 1043521735
-
- Community/Retail Pharmacy
- Dillsburg, PA
- NPI 1063444081
-
- Community/Retail Pharmacy
- Dover, PA
- NPI 1073545091
-
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1083902860
-
- Community/Retail Pharmacy
- Bartonsville, PA
- NPI 1083940068
-
- Community/Retail Pharmacy
- Norristown, PA
- NPI 1093747008
-
- Community/Retail Pharmacy
- Elizabethtown, PA
- NPI 1093747016
-
- Community/Retail Pharmacy
- Stowe, PA
- NPI 1104858117
-
- Community/Retail Pharmacy
- Connellsville, PA
- NPI 1134151152
-
- Community/Retail Pharmacy
- Broomall, PA
- NPI 1154353175
-
- Community/Retail Pharmacy
- Indiana, PA
- NPI 1164454187
-
- Community/Retail Pharmacy
- Red Lion, PA
- NPI 1174555197
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": "1603065600000",
"number": "1184656100",
"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",
"telephone_number": "717-240-5520",
"fax_number": "717-960-8371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 E PLEASANT VALLEY BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166027515",
"telephone_number": "814-944-9998",
"fax_number": "814-944-8419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GIANT COMPANY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE GIANT COMPANY, LLC",
"enumeration_date": "2006-07-07",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP414025L",
"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": "1007302990104",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3977139",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARTINS PHARMACY #6012",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MARTINS PHARMACY #6012",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.