Active NPI
Giant Eagle Inc
- Community/Retail Pharmacy
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- MPO552320
- Legal business name
- GIANT EAGLE INC
- Doing business as
- GIANT EAGLE PHARMACY #0058
- Practice address
- 208 Giant St
Morgantown, WV 26501-2440 - Phone
- (304) 599-2369
- Fax
- (304) 599-2520
- NPI assigned
- Aug 2, 2006
- Organization subpart
- No
NPPES NPI Registry
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
- Phone
- (412) 968-1529
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | MPO552320 | WV | Primary |
Addresses
Primary practice location
208 Giant St
Morgantown, WV 26501-2440
Mailing address
PO Box 643559
Pittsburgh, PA 15264-3559
Phone (412) 968-1529
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810000006 | Medicaid | WV | |
| 5054058 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- GIANT EAGLE PHARMACY #0058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091027000361 | WV | Part B Supplier - Mass Immunization (Roster Biller Only) | 8921083049 |
1 other NPI on this enrollment Practice locations: Morgantown, WV |
| O20100930033569 | WV | DME Supplier - Pharmacy | 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Giant Eagle Inc | Immunosuppressive 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Giant Eagle Pharm 2486
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.
-
- Community/Retail Pharmacy
- Morgantown, WV
- NPI 1689689515
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Morgantown, WV
- NPI 1174192785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756080000000",
"number": "1740297761",
"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",
"telephone_number": "412-968-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 GIANT ST",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265012440",
"telephone_number": "304-599-2369",
"fax_number": "304-599-2520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIANT EAGLE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-02",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"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",
"authorized_official_telephone_number": "412-968-1529"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WV",
"license": "MPO552320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810000006",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5054058",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GIANT EAGLE PHARMACY #0058",
"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 25, 2025; 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.