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GIANT OF MARYLAND LLC NPI 1679506919


NPI Information

NPI: 1679506919
Provider Name: GIANT OF MARYLAND LLC

Doing Business As: GIANT PHARMACY 335

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 21D2131876

Address:
1700 KINGFISHER DR
FREDERICK, MD
ZIP 21701
Phone: (301) 815-2201
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GIANT OF MARYLAND LLC is a community/retail pharmacy pharmacy in Frederick, 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 1679506919. The provider is registered as an organization entity type.
The provider Is Doing Business As Giant Pharmacy 335.

The provider's business location address is:

1700 KINGFISHER DR
FREDERICK, MD
ZIP 21701-775
Phone: (301) 815-2201
Fax: (301) 815-2203

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

The CLIA number assigned to this NPI record is 21D2131876 - 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 4/11/2018.


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
1332B00000XDurable Medical Equipment & Medical SuppliesPO4108MARYLANDNo
2333600000XPharmacyPO4108MARYLANDNo
33336C0003XPharmacyCommunity/Retail PharmacyPO4108MARYLANDYes

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
1406357100MEDICAIDMARYLAND
22131807OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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: 4/28/2024

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