Giant of Maryland LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003053 Issued in VA

Legal business name

GIANT OF MARYLAND LLC

Doing business as

Giant Pharmacy 786

Practice address

220 Zan Rd
Charlottesville, VA 22901-2859

Phone

(434) 973-0776

Fax

(804) 974-7521

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Bob Stone

Title

Dir 3Rd Party and Managed Care

Phone

(617) 770-6257

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• GIANT PHARMACY 786 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1386677623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ZAN RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ZAN RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012859",
            "telephone_number": "434-973-0776",
            "fax_number": "804-974-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "DIR 3RD PARTY AND MANAGED CARE",
        "authorized_official_telephone_number": "617-770-6257"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0201003053",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201003053",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008515735",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4820482",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT PHARMACY 786",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garrett Ghent, MD
• Ankita Ghimire, MD
• Meera Ghimire, MD
• Saad Sultan Ghumman, M.D.
• Victoria Giammattei
• Giant of Maryland LLC (Giant Pharmacy 251)
• Amanda Gibbs, MD
• Caryn Gibson, PA-C
• Jessie Sellers Gibson, PHD, MSN, AGPCNP-BC
• Robert S. Gibson, M.D.

• Community/Retail Pharmacy in Charlottesville, VA
• Providers in Charlottesville, 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 May 28, 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.

Verify at the official NPI Registry.