Active NPI
Riser Foods Company
Doing business as Giant Eagle Pharmacy #5874
- Community/Retail Pharmacy
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 02-1643450
- Legal business name
- RISER FOODS COMPANY
- Doing business as
- Giant Eagle Pharmacy #5874
- Practice address
- 10950 Lorain Ave
Cleveland, OH 44111-5417 - Phone
- (216) 251-5518
- Fax
- (216) 671-8173
- NPI assigned
- Jan 5, 2007
- Last updated
- Apr 16, 2009
- Organization subpart
- Yes
- Parent organization
- GIANT EAGLE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Debra B. Krasnow, PHARM D
- Title
- Director of Managed Care
- Phone
- (412) 968-1550
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 02-1643450 | OH | Primary |
Addresses
Primary practice location
10950 Lorain Ave
Cleveland, OH 44111-5417
Mailing address
101 Kappa Dr
Pittsburgh, PA 15238-2809
Phone (412) 968-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2721139 | Medicaid | OH |
Other names 1
- Giant Eagle Pharmacy #5874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040622001601 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193700292 |
This NPI is an additional NPI on the enrollment Practice locations: Medina, OH; Mentor, OH; Mentor on the Lake, OH; Middlburg, OH; Middlefield, OH; North Olmsted, OH; North Ridgeville, OH; North Royalton, OH… |
National Provider Directory
National Provider Directory- Part of
- Giant Eagle Pharm 4
Locations
10950 Lorain Ave
Cleveland, OH 44111
Phone (216) 251-5518
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Pittsburgh, PA
- NPI 1821286717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239840000000",
"number": "1346397791",
"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",
"telephone_number": "412-968-1550",
"fax_number": "412-968-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10950 LORAIN AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115417",
"telephone_number": "216-251-5518",
"fax_number": "216-671-8173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISER FOODS COMPANY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GIANT EAGLE INC",
"enumeration_date": "2007-01-05",
"last_updated": "2009-04-16",
"status": "A",
"authorized_official_last_name": "KRASNOW",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
"authorized_official_telephone_number": "412-968-1550",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OH",
"license": "02-1643450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2721139",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Giant Eagle Pharmacy #5874",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, OH
- Joy Lynn Rios
- Larisa Inga Rippel, M.S., L.G.C.
- Nicole Marie Ripple, CDCA
- Kathryn Risch, WHNP
- Riser Foods Company (Giant Eagle Pharmacy # 5817)
- Riser Foods Company (Giant Eagle Pharmacy #0230)
- Riser Foods Company (Giant Eagle Pharmacy 1263)
- Riser Foods Company (Giant Eagle Pharmacy #4087)
- Riser Foods Company (Giant Eagle Pharmacy 1298)
- Riseup Peer Support LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.