Giant Food Stores, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003324 Issued in VA

Legal business name

GIANT FOOD STORES, LLC

Doing business as

Martin's Pharmacy #6406

Practice address

5201 Chippenham Crossing Ctr
Richmond, VA 23234-6901

Phone

(804) 714-0687

Fax

(804) 714-0712

NPI assigned

Jun 20, 2006

Organization subpart

Yes

Parent organization

AHOLD USA INCAs reported in NPPES

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

Authorized official

Name

Mrs. Leigh Shirley, RPH

Title

Vice President, Pharmacy

Phone

(717) 240-1506

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Martin's Pharmacy #6406 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Gray Rouse, PHARM. D.

  • Pharmacist
  • Richmond, VA
  • NPI 1831218437
  NPD (past)
• Marla Vandergrift Ryland

  • Pharmacist
  • Richmond, VA
  • NPI 1679798813
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1356387476",
    "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",
            "telephone_number": "717-240-1526",
            "fax_number": "717-960-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 CHIPPENHAM CROSSING CTR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232346901",
            "telephone_number": "804-714-0687",
            "fax_number": "804-714-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT FOOD STORES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLD USA INC",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-03-07",
        "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",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0201003324",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4832704",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B FLU BILLING - RAIL ROAD",
            "identifier": "P00758645",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "09116427",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B FLU BILLING",
            "identifier": "PHC089",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008513040",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Pharmacy #6406",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodney Giandalia
• Joseph Gene Gianfortoni, M.D.
• Luke Giannini, LCSW
• Giant Food Stores, LLC (Martin's Pharmacy #6496)
• Giant Food Stores, LLC (Martin's Pharmacy #6499)
• Giant Food Stores, LLC (Martin's Pharmacy #6434)
• Giant Food Stores, LLC (Martin's Pharmacy #6428)
• Giant Food Stores, LLC (Martin's Pharmacy #6436)
• Marielle Giardini, PT, DPT
• Colleen Gibbons

• Community/Retail Pharmacy in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.