Active NPI
Giant Food Stores LLC
- Community/Retail Pharmacy
- North Wales, PA
National Provider Identifier
1962775973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GIANT FOOD STORES LLC
- Practice address
- 107 S Main St
North Wales, PA 19454-2832 - Phone
- (215) 699-7555
- NPI assigned
- Feb 22, 2012
- Organization subpart
- Yes
- Parent organization
- AHOLD USA INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alison Farrell
- Title
- Director, Third Party Pharmacy
- Phone
- (717) 240-1526
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
107 S Main St
North Wales, PA 19454-2832
Mailing address
1149 Harrisburg Pike
Carlisle, PA 17013-1607
Phone (717) 240-5520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007302990279 | Medicaid | PA |
Other names 1
- Giant Pharmacy #6521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090804000562 | TX | Part B Supplier - Centralized Flu Biller | 2567515851 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryOwnership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pharmacist
- Carlisle, PA
- NPI 1831550375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362441600000",
"number": "1962775973",
"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": "107 S MAIN ST",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194542832",
"telephone_number": "215-699-7555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIANT FOOD STORES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AHOLD USA INC",
"enumeration_date": "2012-02-22",
"last_updated": "2013-03-05",
"status": "A",
"authorized_official_last_name": "FARRELL",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "DIRECTOR, THIRD PARTY PHARMACY",
"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": "1007302990279",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Giant Pharmacy #6521",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.