NPIMap

Organization Active NPI

Riser Foods Company

Doing business as Giant Eagle Pharmacy 217

  • Community/Retail Pharmacy
  • Middleburg Heights, OH
National Provider Identifier
1699780510
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021075450 Issued in OH
Legal business name
RISER FOODS COMPANY
Doing business as
Giant Eagle Pharmacy 217
Giant Eagle Pharmacy 0217
Practice address
6869 Southland Dr
Middleburg Heights, OH 44130-3608
Phone
(440) 885-3019
Fax
(440) 885-5006
NPI assigned
Jul 29, 2006
Organization subpart
Yes
Parent organization
GIANT EAGLE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah J Elms
Title
Insurance Contracting & Credentiali
Phone
(412) 967-4775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 021075450 OH Primary

Addresses

Primary practice location

6869 Southland Dr
Middleburg Heights, OH 44130-3608

Mailing address

101 Kappa Dr
Pittsburgh, PA 15238-2809

Other identifiers 3

IdentifierTypeStateIssuer
2078380MedicaidOH
P00419119OtherOHRRB
3665722OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 2

  • GIANT EAGLE PHARMACY 217 Doing business as
  • Giant Eagle Pharmacy 0217 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040622001601 OH Part B Supplier - Mass Immunization (Roster Biller Only) 5193700292 This NPI is an additional NPI on the enrollment
Practice locations: Medina, OH; Mentor, OH; Mentor on the Lake, OH; Middlburg, OH; Middlefield, OH; North Olmsted, OH; North Ridgeville, OH; North Royalton, OH…
O20100930053697 OH DME Supplier - Pharmacy 5193700292 Practice locations: Middleburg Heights, OH

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
Riser Foods Company6869 Southland Dr, Middleburg Heights, OH 44130-3608(440) 885-3019 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, 2016

National Provider Directory

National Provider Directory
Tax ID family
Giant Eagle Pharmacy 408651 organizations share this tax ID, including this one
Part of
Giant Eagle Pharm 3

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

Member of 1

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

  • Giant Eagle Inc

    dba Giant Eagle Pharmacy #0040

    • Community/Retail Pharmacy
    • Pittsburgh, PA
    • NPI 1861407793

    Member Of

    NPD member

Locations

6869 Southland Dr
Middleburg Heights, OH 44130
Phone (440) 885-3019

Practitioners & affiliated clinicians

Practitioners 1

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": "1600300800000",
    "number": "1699780510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KAPPA DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6869 SOUTHLAND DR",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303608",
            "telephone_number": "440-885-3019",
            "fax_number": "440-885-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISER FOODS COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GIANT EAGLE INC",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "ELMS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE CONTRACTING & CREDENTIALI",
        "authorized_official_telephone_number": "412-967-4775"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021075450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078380",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "P00419119",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3665722",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT EAGLE PHARMACY 217",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Giant Eagle Pharmacy 0217",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.