Active NPI
The Giant Company, LLC
- Community/Retail Pharmacy
- Eldersburg, MD
National Provider Identifier
1669485959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P-04460
- Legal business name
- THE GIANT COMPANY, LLC
- Doing business as
- Martin's Pharmacy #6307
- Practice address
- 1320 Londontown Boulevard
Eldersburg, MD 21784 - Phone
- (410) 552-5749
- NPI assigned
- Aug 15, 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
- Leigh Shirley
- Title
- Vice President, Pharmacy
- Phone
- (717) 240-1506
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P-04460 | MD | Primary |
Addresses
Primary practice location
1320 Londontown Boulevard
Eldersburg, MD 21784
Mailing address
1149 Harrisburg Pike
Carlisle, PA 17013-0249
Phone (717) 240-1526
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 461980 | Other | MD | CDS LICENSE |
| 411214800 | Medicaid | MD | |
| 411603800 | Other | MD | MEDICAID DME |
Other names 1
- Martin's Pharmacy #6307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MD
Enrollment records 2
| 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 |
| O20100930096861 | MD | DME Supplier - Pharmacy | 2567515851 | Practice locations: Eldersburg, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2123580 | Martin'S Pharmacy #6307 | Certificate of waiver | Dec 26, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| The Giant Company LLC | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Giant Food Stores LLC
Organizations with this tax ID in the same state 6
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Rising Sun, MD
- NPI 1376575373
-
- Community/Retail Pharmacy
- Cumberland, MD
- NPI 1467484469
-
- Community/Retail Pharmacy
- Lavale, MD
- NPI 1558393553
-
- Community/Retail Pharmacy
- Hagerstown, MD
- NPI 1649202649
-
- Community/Retail Pharmacy
- Hagerstown, MD
- NPI 1821022773
-
- Community/Retail Pharmacy
- Hagerstown, MD
- NPI 1962430942
Locations
1320 Londontown Blvd
Eldersburg, MD 21784
Phone (410) 552-5749
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Eldersburg, MD
- NPI 1194329904
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Eldersburg, MD
- NPI 1639703523
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Eldersburg, MD
- NPI 1063047702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606089600000",
"number": "1669485959",
"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": "170130249",
"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": "1320 LONDONTOWN BOULEVARD",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "21784",
"telephone_number": "410-552-5749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GIANT COMPANY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AHOLD USA INC",
"enumeration_date": "2006-08-15",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"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"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P-04460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS LICENSE",
"identifier": "461980",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "411214800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "411603800",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Martin's Pharmacy #6307",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Martin's Pharmacy #6307",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.