Giant Eagle, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GIANT EAGLE, INC.

Doing business as

Giant Eagle Pharmacy LTC #0249

Practice address

6204 State Route 30 Ste a
Greensburg, PA 15601-6399

Phone

(724) 219-2208

NPI assigned

Jan 30, 2020

Last updated

Apr 22, 2020By the provider in NPPES

Organization subpart

No

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 1

Addresses

Other names 1

• Giant Eagle Pharmacy LTC #0249 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Member of 2

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

• Riser Foods Company

  dba Giant Eagle Pharmacy 6388

  • Community/Retail Pharmacy
  • Parma, OH
  • NPI 1013922939

  Member Of

  NPD member
• The Tamarkin Company

  dba Giant Eagle Pharmacy #6539

  • Community/Retail Pharmacy
  • Columbus, OH
  • NPI 1477568392

  Member Of

  NPD member

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1245861079",
    "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",
            "telephone_number": "412-967-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 STATE ROUTE 30 STE A",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016399",
            "telephone_number": "724-219-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT EAGLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "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": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giant Eagle Pharmacy LTC #0249",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Giant Eagle Pharmacy LTC #0249",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Giallourakis, ATC
• Julia Nicole Giannilli, LPC
• Giant Eagle Inc (Giant Eagle Pharmacy 9)
• Giant Eagle Long Term Care, LLC (Giant Eagle LTC Pharmacy)
• Giant Eagle, Inc (Giant Eagle Pharmacy #0081)
• Jordan Thomas Gibson, MOT, OTR/L
• Leslie Suzanne Gibson, OD
• Margaret Gibson, CACD, LPC
• Sieara L Gibson, MA
• Joseph Gigandet, MASTER LVL THERAPIST

• Long Term Care Pharmacy in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.