Giant Food Stores, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003938 Issued in VA

Legal business name

GIANT FOOD STORES, LLC

Practice address

1220 Sycamore SQ
Midlothian, VA 23113-4255

Phone

(804) 794-1526

Fax

(804) 794-1056

NPI assigned

Jun 17, 2006

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, RPH

Title

Vice President - Pharmacy

Phone

(717) 240-1506

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Martin's Pharmacy #6488 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Betty Blanton Pace, RPH

  • Pharmacist
  • Midlothian, VA
  • NPI 1417174160
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1619912367",
    "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": "1220 SYCAMORE SQ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134255",
            "telephone_number": "804-794-1526",
            "fax_number": "804-794-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT FOOD STORES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLD USA, INC",
        "enumeration_date": "2006-06-17",
        "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": "0201003938",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU - RAIL ROAD",
            "identifier": "P00758645",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU BILLING",
            "identifier": "PHC089",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4837778",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010030749",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Pharmacy #6488",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Anwar Ghattas, RPH
• Misha Ghazarian, DDS
• Jennifer Elizabeth Gholson, NP
• Sarah S Gholson, M. DIV., LPC
• Cindy Gianfrancesco, OT
• Giant Food Stores, LLC
• Patrick John Gibbons, M.D.
• Ashley Gibson
• Donna M Gibson, PHD, LPC, NCC
• Karis Noelle Gibson, M.S. CF-SLP

• Community/Retail Pharmacy in Midlothian, VA
• Providers in Midlothian, 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.