NPIMap

Organization Active NPI

Giant of Maryland LLC

Doing business as Giant Pharmacy 2311

  • Community/Retail Pharmacy
  • Odenton, MD
National Provider Identifier
1629442173
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GIANT OF MARYLAND LLC
Doing business as
Giant Pharmacy 2311
Practice address
1155 Annapolis Rd
Odenton, MD 21113-1633
Phone
(410) 305-1291
Fax
(410) 305-1287
NPI assigned
Nov 20, 2015
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AHOLDUSAAs 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
Mr. Raymond McCall, RPH
Title
SVP Health & Household
Phone
(717) 960-8553

Specialties & licenses 2

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

Addresses

Primary practice location

1155 Annapolis Rd
Odenton, MD 21113-1633

Mailing address

1149 Harrisburg Pike
Attn: Third Party Coordinator
Carlisle, PA 17013-1607
Phone (717) 960-8553

Other identifiers 1

IdentifierTypeStateIssuer
P06996OtherMDSTATE LICENSE

Other names 1

  • GIANT PHARMACY 2311 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080916000625 TX Part B Supplier - Centralized Flu Biller 7113914219 This NPI is an additional NPI on the enrollment
O20160213000079 MD DME Supplier - Pharmacy 7113914219 Practice locations: Odenton, MD

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2113584Giant Pharmacy #23111155 Annapolis Road, Odenton, MD 21113Certificate of waiverMay 24, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Giant Pharmacy 23111155 Annapolis Rd, Odenton, MD 21113-1633(410) 305-1291 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Ostomy Supplies|Urological Supplies|Surgical Dressings Accepts assignmentParticipating since Sep 1, 2010

National Provider Directory

National Provider Directory
Tax ID family
Giant of Maryland LLC162 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

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629442173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 HARRISBURG PIKE",
            "address_2": "ATTN: THIRD PARTY COORDINATOR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131607",
            "telephone_number": "717-960-8553",
            "fax_number": "717-960-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 ANNAPOLIS RD",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131633",
            "telephone_number": "410-305-1291",
            "fax_number": "410-305-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT OF MARYLAND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLDUSA",
        "enumeration_date": "2015-11-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "SVP HEALTH & HOUSEHOLD",
        "authorized_official_telephone_number": "717-960-8553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "P06996",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT PHARMACY 2311",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odenton, MD

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.
  • 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.