NPIMap

Organization Active NPI

The Tamarkin Company

Doing business as Giant Eagle Pharmacy 1405

  • Community/Retail Pharmacy
  • Niles, OH
National Provider Identifier
1336154244
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE TAMARKIN COMPANY
Doing business as
Giant Eagle Pharmacy 1405
Practice address
48 Vienna Ave
Niles, OH 44446-2622
Phone
(330) 652-2158
Fax
(330) 652-1260
NPI assigned
Jul 29, 2006
Last updated
Jun 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
GIANT EAGLE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Deborah J Elms
Title
Insurance Contracting & Credentiali
Phone
(412) 967-4775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 020673750 OH
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

48 Vienna Ave
Niles, OH 44446-2622

Mailing address

101 Kappa Dr
Pittsburgh, PA 15238-2809

Other names 1

  • GIANT EAGLE PHARMACY 1405 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040623001229 OH Part B Supplier - Mass Immunization (Roster Biller Only) 3577548452 This NPI is an additional NPI on the enrollment
O20100930039469 OH DME Supplier - PharmacyDME Supplier - Grocery Store 3577548452 Practice locations: Niles, OH

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
36D2188332Giant Eagle Pharmacy #140548 Vienna Ave, Niles, OH 44446Certificate of waiverJul 15, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Giant Eagle Pharmacy #140548 Vienna Ave, Niles, OH 44446-2622(330) 652-2158 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Ostomy Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Jan 1, 2016

National Provider Directory

National Provider Directory
Tax ID family
Giant Eagle Pharm 405069 organizations share this tax ID, including this one
Part of
Giant Eagle Pharm 2414

Organizations with this tax ID in the same state 24

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

View all 24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

48 Vienna Ave
Niles, OH 44446
Phone (330) 652-2158

Practitioners & affiliated clinicians

Practitioners 5

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": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1336154244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KAPPA DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 VIENNA AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462622",
            "telephone_number": "330-652-2158",
            "fax_number": "330-652-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TAMARKIN COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GIANT EAGLE INC",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "ELMS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE CONTRACTING & CREDENTIALI",
        "authorized_official_telephone_number": "412-967-4775"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "020673750",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT EAGLE PHARMACY 1405",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GIANT EAGLE PHARMACY 1405",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.