Giant Food Stores, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003170 Issued in VA

Legal business name

GIANT FOOD STORES, LLC

Doing business as

Martin's Pharmacy #6438

Practice address

13700 Hull Street Rd
Midlothian, VA 23112-2000

Phone

(804) 739-8411

Fax

(804) 739-8627

NPI assigned

Jun 7, 2006

Last updated

Feb 15, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

AHOLD USA INCAs reported in NPPES

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

Authorized official

Name

Mrs. Leigh Shirley, RPHNPI 1275153801

Title

Vice President, Pharmacy

Phone

(717) 240-1506

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Martin's Pharmacy #6438 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leigh Ann Shirley, RPH

  • Pharmacist
  • Carlisle, PA
  • NPI 1275153801
  Authorized official Same address or phone

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1982644316",
    "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": "717-240-1526",
            "fax_number": "717-960-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122000",
            "telephone_number": "804-739-8411",
            "fax_number": "804-739-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT FOOD STORES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHOLD USA INC",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "VICE PRESIDENT, PHARMACY",
        "authorized_official_telephone_number": "717-240-1506",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0201003170",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU BILLING - RAILROAD",
            "identifier": "P00758645",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B FLU BILLING",
            "identifier": "PHC089",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008504849",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "09110801",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4828034",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Pharmacy #6438",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Misha Ghazarian, DDS
• Jennifer Elizabeth Gholson, NP
• Sarah S Gholson, M. DIV., LPC
• Cindy Gianfrancesco, OT
• Giant Food Stores, LLC (Martin's Pharmacy #6488)
• Patrick John Gibbons, M.D.
• Ashley Gibson
• Donna M Gibson, PHD, LPC, NCC
• Karis Noelle Gibson, M.S. CF-SLP
• Janet Giles

• Community/Retail Pharmacy in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.