Organization Active NPI

Giant Food Stores, LLC

  • Community/Retail Pharmacy
  • Richmond, VA
National Provider Identifier
1508806944
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201003953 Issued in VA
Legal business name
GIANT FOOD STORES, LLC
Practice address
2250 John Rolfe Pkwy
Richmond, VA 23233-6913
Phone
(804) 360-1869
Fax
(804) 360-1082
NPI assigned
Jun 7, 2006
Organization subpart
Yes
Parent organization
AHOLD USA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0201003953 VA
Community/Retail Pharmacy 3336C0003X 0201003953 VA Primary

Addresses

Primary practice location

2250 John Rolfe Pkwy
Richmond, VA 23233-6913

Mailing address

1149 Harrisburg Pike
Carlisle, PA 17013-1607
Phone (717) 240-1526

Other identifiers 4

IdentifierTypeStateIssuer
4837932OtherVANCPDP
P00758645OtherMEDICARE RAILROAD - FLU BILLING
PHC089OtherMEDICARE B - FLU BILLING
010033039MedicaidVA

Other names 1

  • Martin's Pharmacy #6434 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090804000562 TX Part B Supplier - Centralized Flu Biller 2567515851 This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Giant Food Stores LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2250 John Rolfe Pkwy
Ste 434
Richmond, VA 23233
Phone (804) 360-1869

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508806944",
    "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": "2250 JOHN ROLFE PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232336913",
            "telephone_number": "804-360-1869",
            "fax_number": "804-360-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT FOOD STORES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLD USA INC",
        "enumeration_date": "2006-06-07",
        "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": "0201003953",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4837932",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD - FLU BILLING",
            "identifier": "P00758645",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B - FLU BILLING",
            "identifier": "PHC089",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010033039",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Pharmacy #6434",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • 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.