Giant of Maryland LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PO4470 Issued in MD

Legal business name

GIANT OF MARYLAND LLC

Practice address

5463 Wisconsin Ave
Chevy Chase, MD 20815-3532

Phone

(301) 951-6101

Fax

(301) 951-6131

NPI assigned

Aug 16, 2006

Organization subpart

No

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 #312 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1891808564",
    "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": "170131603",
            "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": "5463 WISCONSIN AVE",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153532",
            "telephone_number": "301-951-6101",
            "fax_number": "301-951-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-12-26",
        "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": "MD",
            "license": "PO4470",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "PO4470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411346200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giant Pharmacy #312",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eduardo Gerlein, DDS, MS,MMSC
• Elfinesh Getachew, RPH
• Getwell Rehabilitation, LLC
• Jane L Gilbert, M.D.
• William S Gilbert, M.D.
• John Andrew Gillis, MPT
• Anthony Alexander Gipe
• Michael Lloyd Gittleson, DPM

• Community/Retail Pharmacy in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.