Giant Food Stores, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003767 Issued in VA

Legal business name

GIANT FOOD STORES, LLC

Doing business as

Martin's Pharmacy #6494

Practice address

3107-15 Boulevard
Colonial Heights, VA 23834-2405

Phone

(804) 520-4106

Fax

(804) 520-8396

NPI assigned

Jun 7, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

AHOLD USA, INCAs reported in NPPES

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

Authorized official

Name

Mrs. Leigh Shirley, RPHNPI 1275153801

Title

Vice President - Pharmacy

Phone

(717) 240-1506

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Martin's Pharmacy #6494 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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.

• Leigh Ann Shirley, RPH

  • Pharmacist
  • Carlisle, PA
  • NPI 1275153801
  Authorized official Same address or phone
• Nicholas Ford, PHARMD

  • Pharmacist
  • Colonial Heights, VA
  • NPI 1790800902
  NPD (past)

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": "1568402873",
    "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": "3107-15 BOULEVARD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342405",
            "telephone_number": "804-520-4106",
            "fax_number": "804-520-8396"
        }
    ],
    "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": "0201003767",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU",
            "identifier": "PHC089",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008513325",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU - RAIL ROAD",
            "identifier": "P00758645",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4836714",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Pharmacy #6494",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vikki Natasha Gaines, PT, DPT
• Julie Christine Gallus, DC
• Rafael Garcia de Oliveira, MD
• Gary S. Mannheimer, O.D., PLLC
• Leelamma George, M.D.
• Dane Joseph Gies, O.D.
• Gauravpal Singh Gill, MD
• Sartaj Singh Gill, M.B.B.S.
• Give a Hand Transportation
• Joann Cobb Glazier, CERTIFIED MASTO. FIT

• Community/Retail Pharmacy in Colonial Heights, VA
• Providers in Colonial Heights, 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 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.