Giant of Maryland LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GIANT OF MARYLAND LLC

Doing business as

Giant Pharmacy #2381

Practice address

300 H St NE
Washington, DC 20002

Phone

(202) 548-5101

Fax

(202) 548-5104

NPI assigned

May 12, 2014

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 1

Other names 1

• Giant Pharmacy #2381 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, DC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Ahold USA162 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

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

• Giant of Maryland LLC

  dba Giant Pharmacy #384

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1265625867
  NPD tax ID
• Giant of Maryland LLC

  dba Giant Pharmacy #2376

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1396173522
  NPD tax ID
• Giant of Maryland LLC

  dba Giant Pharmacy 378

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1538192885
  NPD tax ID
• Giant of Maryland LLC

  dba Giant Pharmacy 375

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1629001979
  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.

• Latanya Yvette Hart-Robbins, RPH

  • Pharmacist
  • Washington, DC
  • NPI 1912508755
  NPD (past)
• Victor U Okeke, PHARM D

  • Pharmacist
  • Washington, DC
  • NPI 1114527785
  NPD (past)

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1841601960",
    "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": "300 H ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20002",
            "telephone_number": "202-548-5101",
            "fax_number": "202-548-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT OF MARYLAND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLD USA INC",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-09-17",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046308800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giant Pharmacy #2381",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Giant of Maryland LLC (Giant Pharmacy #384)
• Giant of Maryland LLC (Giant Pharmacy #2376)
• Giant of Maryland LLC (Giant Pharmacy 378)
• Giant of Maryland LLC (Giant Pharmacy 375)
• Giant of Maryland LLC (Giant Pharmacy 376)
• Mamusu Gibateh
• Andee Gibb, PHARMD
• Junette Gibbons, MD
• Kelly Kathleen Gibbons, MS, RD, LD
• Laurence O Gibbons Jr., DDS

• Community/Retail Pharmacy in Washington, DC
• Providers in Washington, DC by specialty
• Community/Retail Pharmacy in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.