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GIANT OF MARYLAND LLC NPI 1154354405


NPI Information

NPI: 1154354405
Provider Name: GIANT OF MARYLAND LLC

Doing Business As: GIANT PHARMACY 150

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 21D2144544

Address:
46 BUREAU DR
GAITHERSBURG, MD
ZIP 20878
Phone: (301) 840-0815
Get Directions

GIANT OF MARYLAND LLC is a community/retail pharmacy pharmacy in Gaithersburg, MD. The provider is 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 OF MARYLAND LLC NPI is 1154354405. The provider is registered as an organization entity type.
The provider Is Doing Business As Giant Pharmacy 150.

The provider's business location address is:

46 BUREAU DR
GAITHERSBURG, MD
ZIP 20878-402
Phone: (301) 840-0815
Fax: (301) 590-0845

The provider's authorized official is Brad Dayton .
The authorized official title is Director and has the following contact phone number (617) 770-8782.

The CLIA number assigned to this NPI record is 21D2144544 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 10/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyPO0284MARYLANDNo
2332B00000XDurable Medical Equipment & Medical SuppliesPO0284MARYLANDNo
33336C0003XPharmacyCommunity/Retail PharmacyPO0284MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12110245OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2690006200MEDICAIDMARYLAND
34081710035MEDICARE NSCMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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