Giant Food Stores, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003638 Issued in VA

Legal business name

GIANT FOOD STORES, LLC

Doing business as

Martin's Pharmacy #6435

Practice address

10150 Brook Rd
Glen Allen, VA 23060

Phone

(804) 261-1760

Fax

(804) 261-5631

NPI assigned

Jun 7, 2006

Last updated

Mar 7, 2023By the provider in NPPES

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

Mrs. Leigh Shirley, RPHNPI 1275153801

Title

Vice President, Pharmacy

Phone

(717) 240-1506

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Martin's Pharmacy #6435 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

  dba Martin's Pharmacy #6498

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

  dba Martin's Pharmacy #6496

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

  dba Martin's Pharmacy #6499

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

  dba Martin's Pharmacy #6434

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

  dba Martin's Pharmacy #6433

  • Community/Retail Pharmacy
  • Glen Allen, VA
  • NPI 1689613531
  NPD tax ID
• Giant Food Stores, LLC

  dba Martin's Pharmacy #6489

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

Locations

Practitioners 2

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.

• Leigh Ann Shirley, RPH

  • Pharmacist
  • Carlisle, PA
  • NPI 1275153801
  Authorized official Same address or phone
• Betsy Guedri Fulks, RPH

  • Pharmacist
  • Richmond, VA
  • NPI 1467662437
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1710927173",
    "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": "717-240-1526",
            "fax_number": "717-960-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 BROOK RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23060",
            "telephone_number": "804-261-1760",
            "fax_number": "804-261-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT FOOD STORES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLD USA, INC",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-03-07",
        "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",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0201003638",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4834227",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU - RAIL ROAD",
            "identifier": "P00758645",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008518394",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "09105263",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU",
            "identifier": "PHC089",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Pharmacy #6435",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• GHL Consulting (First Light Home Care Of Mechanicsville)
• Negar Ghochaghi, DDS, PHD
• Summer Giannini, AM
• Giant Food Stores, LLC (Martin's Pharmacy #6498)
• Giant Food Stores, LLC (Martin's Pharmacy #6433)
• Amy Leigh Gibson
• Atiya T Gilchrist, LPN
• Antoinette Giles, LPN
• Richard R Gill, M.D.
• Kristin Kaye Gingrich, DPM

• 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.