Organization Active NPI

The Giant Company, LLC

Doing business as Martins Pharmacy #6102

  • Community/Retail Pharmacy
  • Charles Town, WV
National Provider Identifier
1306878327
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE GIANT COMPANY, LLC
Doing business as
Martins Pharmacy #6102
Practice address
190 Flowing Springs Rd
Charles Town, WV 25414-3911
Phone
(304) 728-8705
Fax
(304) 728-8704
NPI assigned
Jul 7, 2006
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AHOLD USA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Leigh ShirleyNPI 1275153801
Title
Vice President Pharmacy
Phone
(717) 240-1506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X SP0551240 WV
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

190 Flowing Springs Rd
Charles Town, WV 25414-3911

Mailing address

1149 Harrisburg Pike
Carlisle, PA 17013-1607

Other identifiers 2

IdentifierTypeStateIssuer
141240000MedicaidWV
5010638OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MARTINS PHARMACY #6102 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090804000562 TX Part B Supplier - Centralized Flu Biller 2567515851 This NPI is an additional NPI on the enrollment
O20100930078968 WV DME Supplier - PharmacyDME Supplier - Grocery Store 2567515851 Practice locations: Charles Town, WV

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
51D2125441Martins Pharmacy #6102190 Flowing Springs Road, Charles Town, WV 25414Certificate of waiverFeb 6, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Martin's Pharmacy #6102190 Flowing Springs Rd, Charles Town, WV 25414-3911(304) 728-8705 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 Jan 1, 2019

National Provider Directory

National Provider Directory
Tax ID family
The Giant Company LLC135 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1306878327",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 FLOWING SPRINGS RD",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254143911",
            "telephone_number": "304-728-8705",
            "fax_number": "304-728-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GIANT COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLD USA INC",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "VICE PRESIDENT PHARMACY",
        "authorized_official_telephone_number": "717-240-1506"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "SP0551240",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141240000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5010638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTINS PHARMACY #6102",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARTINS PHARMACY #6102",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.