Organization Active NPI

The Giant Company, LLC

  • Community/Retail Pharmacy
  • Eldersburg, MD
National Provider Identifier
1669485959
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P-04460 Issued in MD
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
461980OtherMDCDS LICENSE
411214800MedicaidMD
411603800OtherMDMEDICAID DME

Other names 1

  • Martin's Pharmacy #6307 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
O20090804000562 TX Part B Supplier - Centralized Flu Biller 2567515851 This NPI is an additional NPI on the enrollment
O20100930096861 MD DME Supplier - PharmacyDME Supplier - Grocery Store 2567515851 Practice locations: Eldersburg, 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
21D2123580Martin'S Pharmacy #63071320 Londontown Boulevard, Eldersburg, MD 21784Certificate of waiverDec 26, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
The Giant Company LLC1320 Londontown Blvd, Eldersburg, MD 21784-6409(410) 552-5749 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 Jan 1, 2019

National Provider Directory

National Provider Directory
Tax ID family
Giant Food Stores LLC134 organizations share this tax ID, including this one

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.

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.

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.

Verify at the official NPI Registry.