The Giant Company, LLC
Organization Active NPI Community/Retail Pharmacy · Staunton, VA
NPI 1316040652 · NPPES record last updated Nov 23, 2020
Key facts
- NPI
- 1316040652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0201004102 (VA)
- Legal business name
- THE GIANT COMPANY, LLC
- Practice address
- 1015 Richmond Road
Staunton, VA 24401 - Phone
- (540) 885-7491
- NPI assigned
- Sep 5, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AHOLD USA INC
Authorized official
- Name
- Leigh A Shirley, RPH
- Title
- Vice President, Pharmacy
- Phone
- (717) 240-1506
Corporate family (same tax ID) 8
Practitioners 2
-
Cody Bottenfield, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Martin'S Pharmacy #6426 |
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, VA
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 |
| O20100930084013 | VA | DME Supplier - Pharmacy |
2567515851 | Practice locations: Staunton, VA |
National Provider Directory
- Tax ID family
- Giant Food Stores LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0201004102 | VA | Yes |
Addresses
Primary practice location
1015 Richmond Road
Staunton, VA 24401
Mailing address
1149 Harrisburg Pike
Carlisle, PA 17013
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4839481 | Other | NCPDP | |
| 010321867 | Medicaid | VA |
Other names
- Martin's Pharmacy #6426
Other providers in Staunton, VA
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- The Space: a Counseling Center, LLC
- Alexander Randolph Thomas
All providers in Staunton, VA · Community/Retail Pharmacy in Virginia
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.