Giant Food Stores, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003948 Issued in VA

Legal business name

GIANT FOOD STORES, LLC

Practice address

10250 Staples Mill Rd
Glen Allen, VA 23060-3064

Phone

(804) 755-6207

Fax

(804) 755-7166

NPI assigned

Jun 6, 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

Alison Farrell

Title

Director, Pharmacy Third Party

Phone

(717) 240-1526

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Martin's Pharmacy #6433 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Giant Food Stores LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Giant Food Stores, LLC

  • Community/Retail Pharmacy
  • Glen Allen, VA
  • NPI 1063456556
  NPD tax ID
• Giant Food Stores, LLC

  • Community/Retail Pharmacy
  • Richmond, VA
  • NPI 1275573586
  NPD tax ID
• Giant Food Stores, LLC

  • Community/Retail Pharmacy
  • Richmond, VA
  • NPI 1306886189
  NPD tax ID
• Giant Food Stores, LLC

  • Community/Retail Pharmacy
  • Richmond, VA
  • NPI 1508806944
  NPD tax ID
• Giant Food Stores, LLC

  • Community/Retail Pharmacy
  • Glen Allen, VA
  • NPI 1710927173
  NPD tax ID
• Giant Food Stores, LLC

  • Community/Retail Pharmacy
  • Ashland, VA
  • NPI 1760422174
  NPD tax ID

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689613531",
    "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": "717-240-5520",
            "fax_number": "717-960-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 STAPLES MILL RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603064",
            "telephone_number": "804-755-6207",
            "fax_number": "804-755-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT FOOD STORES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLD USA INC",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "DIRECTOR, PHARMACY THIRD PARTY",
        "authorized_official_telephone_number": "717-240-1526"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0201003948",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B - FLU BILLING",
            "identifier": "PHC089",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4837867",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD - FLU BILLING",
            "identifier": "P00758645",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010033012",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Pharmacy #6433",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Nicole George
• Gerda & Associates, LLC
• Geriatric Associates of Richmond Inc
• Negar Ghochaghi, DDS, PHD
• Giant Food Stores, LLC
• Giant Food Stores, LLC
• Amy Leigh Gibson
• Atiya T Gilchrist, LPN
• Antoinette Giles, LPN
• Richard R Gill, M.D.

• Community/Retail Pharmacy in Glen Allen, VA
• Providers in Glen Allen, 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.