NPIMap

Organization Active NPI

Gig Pharmacy and Home Healthcare Services LLC

  • Community/Retail Pharmacy
  • Temple Hills, MD
National Provider Identifier
1942399639
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P02537 Issued in MD
Legal business name
GIG PHARMACY AND HOME HEALTHCARE SERVICES LLC
Doing business as
GIG PHARMACY AND HOME HEALTHCARE
Practice address
3611 Branch Ave Ste 103
Temple Hills, MD 20748-1200
Phone
(301) 423-8070
Fax
(301) 423-7707
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Samuel KutiNPI 1093896060
Title
President and Owner
Phone
(301) 423-8070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P02537 MD Primary

Addresses

Primary practice location

3611 Branch Ave Ste 103
Temple Hills, MD 20748-1200

Mailing address

3611 Branch Ave Ste 103
Temple Hills, MD 20748-1200
Phone (301) 423-8070

Other identifiers 3

IdentifierTypeStateIssuer
027442200MedicaidMD
563205600MedicaidMD
2124650OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • GIG PHARMACY AND HOME HEALTHCARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930035230 MD DME Supplier - PharmacyDME Supplier - Prosthetic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Registered Pharmacist 4789890997 Practice locations: Temple Hills, MD
O20211222000237 DC Part B Supplier - Mass Immunization (Roster Biller Only) 4789890997 Practice locations: Temple Hills, MD

National Provider Directory

National Provider Directory

Locations

3611 Branch Ave
Ste 103
Temple Hills, MD 20748
Phone (301) 423-8070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1942399639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE STE 103",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481200",
            "telephone_number": "301-423-8070",
            "fax_number": "301-423-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE STE 103",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481200",
            "telephone_number": "301-423-8070",
            "fax_number": "301-423-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIG PHARMACY AND HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "KUTI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "301-423-8070"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P02537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027442200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "563205600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2124650",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIG PHARMACY AND HOME HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GIG PHARMACY AND HOME HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.