Provider Demographics
NPI:1043917800
Name:GIANT EAGLE, INC.
Entity Type:Organization
Organization Name:GIANT EAGLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INS. CONTRACTING/CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:ELMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-967-4775
Mailing Address - Street 1:PO BOX 643559
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15264-3559
Mailing Address - Country:US
Mailing Address - Phone:412-963-6200
Mailing Address - Fax:
Practice Address - Street 1:2500 LOVI RD RM 101
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:PA
Practice Address - Zip Code:15042-9398
Practice Address - Country:US
Practice Address - Phone:844-259-1891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy