NPIMap

Organization Active NPI

Giant Eagle Inc

Doing business as Giant Eagle Pharmacy 2415

  • Pharmacy
  • Butler, PA
National Provider Identifier
1336154251
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP413937L Issued in PA
Legal business name
GIANT EAGLE INC
Doing business as
Giant Eagle Pharmacy 2415
Practice address
1521 N Main Street Ext
Butler, PA 16001-1542
Phone
(724) 282-9160
Fax
(724) 282-1648
NPI assigned
Jul 29, 2006
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Kelly Anne Zmarzly
Title
Pharmacy Managed Care
Phone
(412) 968-1529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP413937L PA Primary

Addresses

Primary practice location

1521 N Main Street Ext
Butler, PA 16001-1542

Mailing address

PO Box 643559
Pittsburgh, PA 15264-3559
Phone (412) 968-1529

Other identifiers 3

IdentifierTypeStateIssuer
1007285680333MedicaidPA
3961720OtherOTHER ID NUMBER-COMMERCIAL NUMBER
870021414OtherPAMEDICARE RAILROAD FLU GIANT EAGLE PA

Other names 1

  • GIANT EAGLE PHARMACY 2415 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061213000490 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8921083049 This NPI is an additional NPI on the enrollment
O20100930064810 PA DME Supplier - PharmacyDME Supplier - Grocery Store 8921083049 Practice locations: Butler, PA

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Giant Eagle Inc1521 North Main Street, Butler, PA 16001-1548(724) 282-9160 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, 1998

National Provider Directory

National Provider Directory
Tax ID family
Giant Eagle Pharm 61107 organizations share this tax ID, including this one

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 2

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

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": "1785801600000",
    "number": "1336154251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643559",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152643559",
            "telephone_number": "412-968-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N MAIN STREET EXT",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011542",
            "telephone_number": "724-282-9160",
            "fax_number": "724-282-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT EAGLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "ZMARZLY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHARMACY MANAGED CARE",
        "authorized_official_telephone_number": "412-968-1529"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP413937L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007285680333",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3961720",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD FLU GIANT EAGLE PA",
            "identifier": "870021414",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT EAGLE PHARMACY 2415",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.