NPIMap

Organization Active NPI

Giant Eagle Inc

  • Community/Retail Pharmacy
  • Indiana, PA
National Provider Identifier
1619982535
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP414134L Issued in PA
Legal business name
GIANT EAGLE INC
Practice address
475 Ben Franklin Rd S
Indiana, PA 15701-2347
Phone
(724) 464-2108
Fax
(724) 464-2105
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Kelly Anne Zmarzly
Title
Pharmacy Managed Care Credentialing
Phone
(412) 968-1529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP414134L PA Primary

Addresses

Primary practice location

475 Ben Franklin Rd S
Indiana, PA 15701-2347

Mailing address

700 Cranberry Woods Dr
Cranberry TWP, PA 16066-5213
Phone (412) 968-1529

Other identifiers 2

IdentifierTypeStateIssuer
1007285680327MedicaidPA
870021414OtherPARRB

Other names 1

  • Giant Eagle Pharmacy #1678 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061213000490 PA Part B Supplier - Mass Immunization (Roster Biller Only) 8921083049 This NPI is an additional NPI on the enrollment
O20100930075098 PA DME Supplier - PharmacyDME Supplier - Grocery Store 8921083049 Practice locations: Indiana, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Giant Eagle Inc475 Ben Franklin Rd S, Indiana, PA 15701-2347(724) 463-2181 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Ostomy Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Giant Eagle Pharm 2486107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

475 S Ben Franklin Rd
Indiana, PA 15701
Phone (724) 464-2108

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1619982535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CRANBERRY WOODS DR",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665213",
            "telephone_number": "412-968-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BEN FRANKLIN RD S",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012347",
            "telephone_number": "724-464-2108",
            "fax_number": "724-464-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT EAGLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "ZMARZLY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHARMACY MANAGED CARE CREDENTIALING",
        "authorized_official_telephone_number": "412-968-1529"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP414134L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007285680327",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "870021414",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giant Eagle Pharmacy #1678",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Giant Eagle Pharmacy #1678",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.