Active NPI
Giant Eagle, Inc
Doing business as Giant Eagle Pharmacy #87
- Community/Retail Pharmacy
- Saint Marys, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP482060
- Legal business name
- GIANT EAGLE, INC
- Doing business as
- Giant Eagle Pharmacy #87
- Practice address
- 846 S Saint Marys St
Saint Marys, PA 15857-2831 - Phone
- (814) 781-1350
- Fax
- (814) 781-3418
- NPI assigned
- Sep 7, 2010
- Last updated
- Jan 3, 2012
- Organization subpart
- No
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, PHARMD
- Title
- Director of Managed Care
- Phone
- (412) 967-1550
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 | PP482060 | PA | Primary |
Addresses
Primary practice location
846 S Saint Marys St
Saint Marys, PA 15857-2831
Mailing address
101 Kappa Dr
Pittsburgh, PA 15238-2809
Phone (412) 968-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007285680325 | Medicaid | PA |
Other names 1
- Giant Eagle Pharmacy #87
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061213000490 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8921083049 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Giant Eagle Pharmacy 6381
- Community/Retail Pharmacy
- Willoughby, OH
- NPI 1316952237
Member Of
-
dba Giant Eagle Pharmacy #1611
- Community/Retail Pharmacy
- Louisville, OH
- NPI 1851641666
Member Of
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": "1283817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325548800000",
"number": "1386951705",
"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": "846 S SAINT MARYS ST",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158572831",
"telephone_number": "814-781-1350",
"fax_number": "814-781-3418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIANT EAGLE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-07",
"last_updated": "2012-01-03",
"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": "412-967-1550",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP482060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007285680325",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Giant Eagle Pharmacy #87",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.