Giant of Maryland LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

A30000729 Issued in DE

Legal business name

GIANT OF MARYLAND LLC

Practice address

200 Dove Run Dr
Middletown, DE 19709-7971

Phone

(302) 828-9181

Fax

(302) 828-9190

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Ira Kress

Title

President

Phone

(207) 885-7454

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SUPER G PHARMACY 388 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, DE2 enrollments

Enrollment records 2

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

Tax ID family

Ahold USA162 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

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

• Giant of Maryland LLC

  • Community/Retail Pharmacy
  • Rehoboth Beach, DE
  • NPI 1184657439
  NPD tax ID
• Giant of Maryland LLC

  • Community/Retail Pharmacy
  • Wilmington, DE
  • NPI 1275566523
  NPD tax ID
• Giant of Maryland LLC

  • Community/Retail Pharmacy
  • Bear, DE
  • NPI 1366475618
  NPD tax ID
• Giant of Maryland LLC

  • Community/Retail Pharmacy
  • Millville, DE
  • NPI 1396794160
  NPD tax ID
• Giant of Maryland LLC

  • Community/Retail Pharmacy
  • Millsboro, DE
  • NPI 1598936577
  NPD tax ID

Practitioners 3

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

• La-Tai Johnson, PHARMD

  • Pharmacist
  • Middletown, DE
  • NPI 1104429422
  NPD (past)
• Howard Simon, RPH

  • Pharmacist
  • Middletown, DE
  • NPI 1265034532
  NPD (past)
• Agnes Khalid Adel Sweileh, RPH

  • Pharmacist
  • Middletown, DE
  • NPI 1952903213
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1992738249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "MS 3000",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045005",
            "telephone_number": "207-885-7454",
            "fax_number": "704-645-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOVE RUN DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197097971",
            "telephone_number": "302-828-9181",
            "fax_number": "302-828-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "KRESS",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-885-7454"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": "A30000729",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "DE",
            "license": "A30000729",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "DE",
            "license": "A30000729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000034539",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0804167",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER G PHARMACY 388",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUPER G PHARMACY 388",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leahmon E Gaye-King
• Genehouse Inc.
• Joan MV Gennarini, LMT
• Constance S Gerassimakis, MD
• John Giacobello
• Varleisha D Gibbs, PHD, OTD, OTR/L
• Patricia Gilpin, APRN,BC.
• Glasgow Medical Center, LLC
• Bryce Sona Gokool
• Golden Eagles Senior Day Care Center, Inc

• Community/Retail Pharmacy in Middletown, DE
• Providers in Middletown, DE by specialty
• Community/Retail Pharmacy in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.