The Giant Company, LLC
Organization Active NPI Community/Retail Pharmacy · Martinsburg, WV
NPI 1215969233 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1215969233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- THE GIANT COMPANY, LLC
- Practice address
- 901 Foxcroft Ave
Martinsburg, WV 25401-1840 - Phone
- (304) 267-6414
- Fax
- (304) 267-9036
- NPI assigned
- Jul 7, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AHOLD USA INC
Authorized official
- Name
- Leigh Shirley
- Title
- Vice President Pharmacy
- Phone
- (717) 240-1506
Corporate family (same tax ID) 1
Practitioners 3
-
Keana McManus, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2118177 | Martins Pharmacy #6107 | Certificate of waiver | Aug 31, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Martins Pharmacy #6107 |
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, WV
Medicare enrollment records
| 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 |
| O20100930066409 | WV | DME Supplier - Pharmacy |
2567515851 | Practice locations: Martinsburg, WV |
National Provider Directory
- Tax ID family
- Giant Food Stores LLC
Locations
901 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 267-6414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | SP0551270 | WV | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
901 Foxcroft Ave
Martinsburg, WV 25401-1840
Mailing address
1149 Harrisburg Pike
Carlisle, PA 17013-1607
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5010929 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 141479000 | Medicaid | WV |
Other names
- MARTINS PHARMACY #6107
Other providers in Martinsburg, WV
- Regina Terry-Jackson
- Elizabeth Thacker
- Nilay Bhasker Thaker
- Thane S. Farmer, DDS
- The Feelings Nest PLLC
- The Martinsburg Work Center II
- Thera-Pharm Solutions LLC
- Thomas J. Meals DMD,PLLC
- Alexander Thomas
- Amber Lee Thomas
All providers in Martinsburg, WV · Community/Retail Pharmacy in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.