NPIMap

Organization Active NPI

Riser Foods Company

  • Community/Retail Pharmacy
  • North Ridgeville, OH
National Provider Identifier
1932260767
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-1636950 Issued in OH
Legal business name
RISER FOODS COMPANY
Doing business as
GIANT EAGLE PHARMACY #0199
Practice address
34325 Center Ridge Rd
North Ridgeville, OH 44039-3169
Phone
(440) 327-8085
Fax
(440) 327-8151
NPI assigned
Dec 13, 2006
Organization subpart
Yes
Parent organization
GIANT EAGLE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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 02-1636950 OH Primary

Addresses

Primary practice location

34325 Center Ridge Rd
North Ridgeville, OH 44039-3169

Mailing address

101 Kappa Dr
Pittsburgh, PA 15238-2809
Phone (412) 968-1550

Other identifiers 2

IdentifierTypeStateIssuer
P00419123OtherOHMEDICARE RAILROAD FLU (TAMARKIN) OH
2724592MedicaidOH

Other names 1

  • GIANT EAGLE PHARMACY #0199 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040622001601 OH Part B Supplier - Mass Immunization (Roster Biller Only) 5193700292 Practice locations: Medina, OH; Mentor, OH; Mentor on the Lake, OH; Middlburg, OH; Middlefield, OH; North Olmsted, OH; North Ridgeville, OH; North Royalton, OH…
O20040623001229 OH Part B Supplier - Mass Immunization (Roster Biller Only) 3577548452 This NPI is an additional NPI on the enrollment
O20210910002513 OH DME Supplier - Pharmacy 5193700292 Practice locations: North Ridgeville, 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 Company34325 Center Ridge Rd, North Ridgeville, OH 44039-3169(440) 327-8085 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 2486

Organizations with this tax ID in the same state 15

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

View all 15

Member of 1

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

Locations

34325 Center Ridge Rd
North Ridgeville, OH 44039
Phone (440) 327-8085

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1932260767",
    "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",
            "telephone_number": "412-968-1550",
            "fax_number": "412-968-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34325 CENTER RIDGE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393169",
            "telephone_number": "440-327-8085",
            "fax_number": "440-327-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISER FOODS COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GIANT EAGLE, INC",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "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": "02-1636950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD FLU (TAMARKIN) OH",
            "identifier": "P00419123",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2724592",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT EAGLE PHARMACY #0199",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GIANT EAGLE PHARMACY #0199",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.