Active NPI
Giant of Maryland LLC
- Community/Retail Pharmacy
- Washington, DC
National Provider Identifier
1265625867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0700353
- Legal business name
- GIANT OF MARYLAND LLC
- Practice address
- 1535 Alabama Avenue S.E.
Washington, DC 20032 - Phone
- (202) 610-6450
- Fax
- (202) 610-6490
- NPI assigned
- Aug 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alison Farrell
- Title
- Director, Pharmacy Third Party
- Phone
- (717) 240-1526
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0700353 | DC | |
| Community/Retail Pharmacy | 3336C0003X | 0700353 | DC | Primary |
Addresses
Primary practice location
1535 Alabama Avenue S.E.
Washington, DC 20032
Mailing address
1149 Harrisburg Pike
Carlisle, PA 17013-1607
Phone (717) 240-5520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09273100 | Medicaid | DC | |
| 0904498 | Other | DC | NCPDP |
Other names 1
- Giant Pharmacy #384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, DC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080916000625 | TX | Part B Supplier - Centralized Flu Biller | 7113914219 | This NPI is an additional NPI on the enrollment |
| O20100930008246 | DC | DME Supplier - Pharmacy | 7113914219 | Practice locations: Washington, DC |
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 09D2234323 | Giant Pharmacy #384 | Certificate of waiver | Aug 29, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Giant of Maryland LLC | 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
- Ahold USA
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1396173522
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1538192885
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1629001979
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1841601960
Locations
1535 Alabama Ave SE
Washington, DC 20032
Phone (202) 610-6450
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Washington, DC
- NPI 1649872557
-
- Pharmacist
- Washington, DC
- NPI 1962004002
-
- Pharmacist
- Washington, DC
- NPI 1467054353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398902400000",
"number": "1265625867",
"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": "1535 ALABAMA AVENUE S.E.",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20032",
"telephone_number": "202-610-6450",
"fax_number": "202-610-6490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIANT OF MARYLAND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-27",
"last_updated": "2014-05-01",
"status": "A",
"authorized_official_last_name": "FARRELL",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "DIRECTOR, PHARMACY THIRD PARTY",
"authorized_official_telephone_number": "717-240-1526"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "DC",
"license": "0700353",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "DC",
"license": "0700353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09273100",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0904498",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Giant Pharmacy #384",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.