NPIMap

Organization Active NPI

Giant of Maryland LLC

Doing business as Giant Pharmacy #2330

  • Community/Retail Pharmacy
  • Crofton, MD
National Provider Identifier
1225061575
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO0988 Issued in MD
Legal business name
GIANT OF MARYLAND LLC
Doing business as
Giant Pharmacy #2330
Practice address
1649 Crofton Ctr
Crofton, MD 21114-1330
Phone
(410) 721-1771
Fax
(844) 411-6237
NPI assigned
Jul 9, 2006
Last updated
Jan 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Ira Kress
Title
President
Phone
(207) 885-7454

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PO0988 MD
Pharmacy 333600000X PO0988 MD
Community/Retail Pharmacy 3336C0003X PO0988 MD Primary

Addresses

Primary practice location

1649 Crofton Ctr
Crofton, MD 21114-1330

Mailing address

PO Box 1000
Portland, ME 04104-5005

Other identifiers 2

IdentifierTypeStateIssuer
2112225OtherOTHER ID NUMBER-COMMERCIAL NUMBER
694502300MedicaidMD

Other names 1

  • Giant Pharmacy #2330 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080916000625 TX Part B Supplier - Centralized Flu Biller 7113914219 This NPI is an additional NPI on the enrollment
O20100930016209 MD DME Supplier - PharmacyDME Supplier - Grocery Store 7113914219 Practice locations: Crofton, MD

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2130311Giant Pharmacy #23301649 Crofton Center, Crofton, MD 21114Certificate of waiverMay 7, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Giant of Maryland, LLC1649 Crofton Ctr, Crofton, MD 21114-1330(410) 721-1771 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 Sep 1, 2010

National Provider Directory

National Provider Directory
Tax ID family
Giant of Maryland LLC162 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

1649 Crofton Ctr
Crofton, MD 21114
Phone (410) 721-1771

1161 State Route 3 N
Gambrills, MD 21054
Phone (410) 721-1771

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1225061575",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 CROFTON CTR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141330",
            "telephone_number": "410-721-1771",
            "fax_number": "844-411-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "KRESS",
        "authorized_official_first_name": "IRA",
        "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": "MD",
            "license": "PO0988",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "PO0988",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "PO0988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2112225",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694502300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giant Pharmacy #2330",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.