Organization Active NPI

Giant Eagle Inc

Doing business as Giant Eagle Pharmacy 59

  • Community/Retail Pharmacy
  • Morgantown, WV
National Provider Identifier
1689689515
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
MP0552344 Issued in WV
Legal business name
GIANT EAGLE INC
Doing business as
Giant Eagle Pharmacy 59
Practice address
130 Greenbag Rd
Morgantown, WV 26501-7155
Phone
(304) 292-0385
Fax
(304) 292-6081
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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 Credentialin
Phone
(412) 968-1529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X MP0552344 WV Primary

Addresses

Primary practice location

130 Greenbag Rd
Morgantown, WV 26501-7155

Mailing address

PO Box 643559
Pittsburgh, PA 15264-3559

Other identifiers 2

IdentifierTypeStateIssuer
0140932000MedicaidWV
5010260OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • GIANT EAGLE PHARMACY 59 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091027000361 WV Part B Supplier - Mass Immunization (Roster Biller Only) 8921083049 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morgantown, WV
O20100930089608 WV DME Supplier - PharmacyDME Supplier - Grocery Store 8921083049 Practice locations: Morgantown, WV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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 Pharmacy #0059130 Greenbag Rd, Morgantown, WV 26501-7155(304) 292-0385 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 3107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

Member of 2

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1786492800000",
    "number": "1689689515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643559",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152643559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GREENBAG RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265017155",
            "telephone_number": "304-292-0385",
            "fax_number": "304-292-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT EAGLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "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 CREDENTIALIN",
        "authorized_official_telephone_number": "412-968-1529"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "MP0552344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140932000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5010260",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT EAGLE PHARMACY 59",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.