The Giant Company, LLC
Organization Active NPI Community/Retail Pharmacy · Temple, PA
NPI 1295981082 · NPPES record last updated Nov 23, 2020
Key facts
- NPI
- 1295981082
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PP-481856 (PA)
- Legal business name
- THE GIANT COMPANY, LLC
- Practice address
- 4320 N. 5TH Street Hwy
Temple, PA 19560 - Phone
- (610) 939-2644
- Fax
- (610) 939-2656
- NPI assigned
- Aug 12, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- AHOLD USA INC
Authorized official
- Name
- Nicholas Bertram
- Title
- President
- Phone
- (207) 885-7454
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 24
Practitioners 1
-
Lisa M Eckert, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Giant Pharmacy #6422 |
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, PA
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 |
| O20100930085952 | PA | DME Supplier - Pharmacy | 2567515851 | Practice locations: Temple, PA |
National Provider Directory
- Tax ID family
- Giant Food Stores LLC
Locations
4320 5th Street Hwy
Temple, PA 19560
Phone (610) 939-2640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP-481856 | PA | Yes |
Addresses
Primary practice location
4320 N. 5TH Street Hwy
Temple, PA 19560
Mailing address
1149 Harrisburg Pike
Carlisle, PA 17013-1607
Phone (717) 240-5520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007302990262 | Medicaid | PA |
Other names
- Giant Pharmacy #6422
Other providers in Temple, PA
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- Jessica L Schwartz
- St Joseph Regional Health Network
- Victoria G Stella
- Temple Dental Arts LLC
- Yiting Tian
- Katie Bettyjean Ulrich
- Wal-Mart Stores East , LP
- Wal-Mart Stores East, LP
- William Anthony Zapata
All providers in Temple, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 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.