Active NPI
Giant Food Stores, LLC
- Community/Retail Pharmacy
- Richmond, VA
National Provider Identifier
1508806944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201003953
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4837932 | Other | VA | NCPDP |
| P00758645 | Other | MEDICARE RAILROAD - FLU BILLING | |
| PHC089 | Other | MEDICARE B - FLU BILLING | |
| 010033039 | Medicaid | VA |
Other names 1
- Martin's Pharmacy #6434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Glen Allen, VA
- NPI 1063456556
-
- Community/Retail Pharmacy
- Richmond, VA
- NPI 1275573586
-
- Community/Retail Pharmacy
- Richmond, VA
- NPI 1306886189
-
- Community/Retail Pharmacy
- Glen Allen, VA
- NPI 1689613531
-
- Community/Retail Pharmacy
- Glen Allen, VA
- NPI 1710927173
-
- Community/Retail Pharmacy
- Ashland, VA
- NPI 1760422174
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.