GIANT PHARMACY 747 – NPI #1912930264
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.

GIANT PHARMACY 747 is a pharmacy located in RESTON, VA. NPPES has assigned the NPI number 1912930264 to GIANT PHARMACY 747 on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GIANT PHARMACY 747” is a dba name, the actual legal business name for this organization is GIANT OF MARYLAND LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 15 years ago on Oct 28, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GIANT PHARMACY 747 below.

NPI Profile for
GIANT OF MARYLAND LLC

NPI Number
1912930264
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GIANT OF MARYLAND LLC
Doing Business As (dba): GIANT PHARMACY 747
Primary location
1450 NORTHPOINT VILLAGE CTR
RESTON, VA 20194-1190
Phone: (703) 437-0037 Fax: (703) 437-2090
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRAD DAYTON
DIRECTOR
Phone: (617) 770-8782
Updated
Identifiers

Identifiers for GIANT PHARMACY 747

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHEROTHER ID NUMBER-COMMERCIAL NUMBER4827931
MEDICAIDVA008504768
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
VA 0201003169
333600000X
- Pharmacy
VA 0201003169
332B00000X
- Durable Medical Equipment & Medical Supplies
VA 0201003169

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.