Giant Food Stores LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP414199L Issued in PA

Legal business name

GIANT FOOD STORES LLC

Practice address

255 Northland Ctr
State College, PA 16803-2903

Phone

(814) 237-1837

Fax

(814) 237-9313

NPI assigned

Jul 7, 2006

Organization subpart

Yes

Parent organization

AHOLD USA INCAs reported in NPPES

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

Addresses

Other identifiers 2

Other names 1

• GIANT PHARMACY #6072 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ahold USA

  • Pharmacist
  • Carlisle, PA
  • NPI 1831550375
  NPPES parent name

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1295767200",
    "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": "255 NORTHLAND CTR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032903",
            "telephone_number": "814-237-1837",
            "fax_number": "814-237-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT FOOD STORES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLD USA INC",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-07-25",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP414199L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP414199L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007302990004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3958381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT PHARMACY #6072",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Lawrence George, R.PH.
• Gerald F Clair, LLC
• Gerald M Beresny MD PC
• Ari Reuben Geselowitz, MD
• Tadesse Mengistu Getahun
• Kailey Gibb
• David S. Gilbert, PT
• Jennifer L Gilbert, D.O.
• Samantha Gilbert, PA-C
• Reshay Danielle Giles-Mitchell, CRNP

• Community/Retail Pharmacy in State College, PA
• Providers in State College, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.