NPIMap

Organization Active NPI

Giant Eagle Inc.

  • Community/Retail Pharmacy
  • Edinboro, PA
National Provider Identifier
1386745453
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GIANT EAGLE INC.
Practice address
606 Erie St Ste 130
Edinboro, PA 16412-6002
Phone
(814) 734-5036
Fax
(814) 734-7299
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 & Credential
Phone
(412) 967-4775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

606 Erie St Ste 130
Edinboro, PA 16412-6002

Mailing address

PO Box 643559
Pittsburgh, PA 15264-3559
Phone (412) 963-6200

Other names 1

  • Giant Eagle Pharmacy 2470 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
O20150407002481 PA DME Supplier - PharmacyDME Supplier - Grocery Store 8921083049 Practice locations: Edinboro, 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 Inc606 Erie St, Edinboro, PA 16412-6002(814) 734-5036 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 2486107 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.

Locations

606 Erie St
Edinboro, PA 16412
Phone (814) 734-4451

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1386745453",
    "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": "412-963-6200",
            "fax_number": "412-968-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 ERIE ST STE 130",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164126002",
            "telephone_number": "814-734-5036",
            "fax_number": "814-734-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT EAGLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "ELMS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE CONTRACTING & CREDENTIAL",
        "authorized_official_telephone_number": "412-967-4775"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giant Eagle Pharmacy 2470",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.