GIANT OF MARYLAND LLC (NPI# 1922031269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922031269 |
Entity Type | Organization |
Organization Name | GIANT OF MARYLAND LLC |
Other Organization Name | GIANT PHARMACY 770 |
Practice Address |
1245 Jefferson Davis Hwy Fredericksburg VA 22401-4415 |
Practice Telephone | 5403717790 |
Practice Fax Number | 5403710613 |
Enumeration Date | 2006-07-09 |
Last Update Date | 2011-10-28 |
Authorized Official Name | BRAD DAYTON (DIRECTOR) |
Authorized Official Telephone | 6177708782 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | 0201003032 | VA | Suppliers |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | 0201003032 | VA | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201003032 | VA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 008514763 | 05 | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 4818122 | 01 |
Other Name | Type Code |
---|---|
GIANT PHARMACY 770 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528443272 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 621 E Glebe Rd, Alexandria, VA 22305-3045 | 2015-07-23 |
1841601960 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 300 H St Ne, Washington, DC 20002 | 2014-05-12 |
1710301411 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 200 Rosewick Rd, La Plata, MD 20646-4216 | 2014-02-17 |
1396173522 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 1400 7th St N.w., Washington, DC 20001 | 2013-10-25 |
1598936577 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 25939 Plaza Dr, Millsboro, DE 19966 | 2008-03-18 |
1992983357 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 7235 Arlington Blvd, Falls Church, VA 22042-3219 | 2008-02-07 |
1487837415 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 11740 Rousby Hall Rd, Lusby, MD 20657-2606 | 2007-12-13 |
1073707337 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 13781 Connecticut Ave, Silver Spring, MD 20906-2916 | 2007-08-30 |
1265625867 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 1535 Alabama Avenue S.e., Washington, DC 20032 | 2007-08-27 |
1316137516 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 5701 Plank Rd, Fredericksburg, VA 22407-6227 | 2007-07-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Giant of Maryland LLC | 6300 Sheriff Road, Landover, Maryland 20785 |
Street Address |
1245 JEFFERSON DAVIS HWY |
City | FREDERICKSBURG |
State | VA |
Zip Code | 22401-4415 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336749902 | Vasudha Gupta | Pharmacist | 1245 Jefferson Davis Hwy, Fredericksburg, VA 22401-4415 | 2020-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
Find all providers in zip 22401 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255832929 | Msp Rx LLC | Pharmacy | 501 E Highway St Ste 100, Fredericksburg, TX 78624-5101 | 2018-02-27 |
1356768162 | Genoa Healthcare, LLC | Pharmacy | 600 Jackson St Ste Q, Fredericksburg, VA 22401-5719 | 2014-03-19 |
1174684732 | Valu-med Inc. | Pharmacy | 707 N Llano St, Fredericksburg, TX 78624-3943 | 2006-12-13 |
1689772147 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 450 Chatham Heights Rd, Fredericksburg, VA 22405-2575 | 2006-09-20 |
1568566230 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 5832 Harrison Rd, Fredericksburg, VA 22407-4202 | 2006-09-12 |
1154424893 | Virginia Cvs Pharmacy LLC | Pharmacy | 4203 Plank Rd, Fredericksburg, VA 22407-4805 | 2006-09-07 |
1154431781 | Costco Wholesale Corporation | Pharmacy | 3102 Plank Rd # 600, Fredericksburg, VA 22407 | 2006-08-30 |
1891717575 | Virginia Cvs Pharmacy LLC | Pharmacy | 1180 Carl D Silver Pkwy, Fredericksburg, VA 22401-4913 | 2006-07-24 |
1730112020 | Goolricks Modern Pharmarcy Inc | Pharmacy | 901 Caroline St, Fredericksburg, VA 22401-5807 | 2006-07-09 |
1841231883 | Virginia Cvs Pharmacy LLC | Pharmacy | 9785 Jefferson Davis Hwy, Fredericksburg, VA 22407-9406 | 2006-06-09 |
Find all providers in FREDERICKSBURG |
City | FREDERICKSBURG |
Zip Code | 22401 |
Please comment or provide details below to improve the information on GIANT OF MARYLAND LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.