Riser Foods Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RISER FOODS COMPANY

Practice address

13820 Lorain Ave
Cleveland, OH 44111-3428

Phone

(216) 476-4731

Fax

(216) 476-4737

NPI assigned

Jul 29, 2006

Organization subpart

Yes

Parent organization

GIANT EAGLE INCAs reported in NPPES

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

Authorized official

Name

Debra Krasnow

Title

Director Managed Care

Phone

(412) 968-1550

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• GIANT EAGLE PHARMACY 1298 Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

Giant Eagle Pharm 2486

Member of 1

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

• Giant Eagle, Inc.

  • Community/Retail Pharmacy
  • Titusville, PA
  • NPI 1710296561

  Member Of

  NPD member

Locations

Practitioners 1

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

• Braylon M Hardy, RPH

  • Pharmacist
  • Cleveland, OH
  • NPI 1255643003
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1962417873",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441113428",
            "telephone_number": "216-476-4731",
            "fax_number": "216-476-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISER FOODS COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GIANT EAGLE INC",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "KRASNOW",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "DIRECTOR MANAGED CARE",
        "authorized_official_telephone_number": "412-968-1550"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "021087300",
            "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": "2078424",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3665380",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD FLU",
            "identifier": "P00419119",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIANT EAGLE PHARMACY 1298",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riser Foods Company
• Riser Foods Company
• Riser Foods Company
• Riser Foods Company
• Riser Foods Company
• Riseup Peer Support LLC
• Julie Rish, PH.D.
• Barbara F Risius, MD
• Jeffrey P Riskin, LISW
• India Risner, CRNA

• Community/Retail Pharmacy in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.