Provider Demographics
NPI:1386745453
Name:GIANT EAGLE INC.
Entity type:Organization
Organization Name:GIANT EAGLE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INSURANCE CONTRACTING & CREDENTIAL
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:412-968-1561
Practice Address - Street 1:606 ERIE ST STE 130
Practice Address - Street 2:
Practice Address - City:EDINBORO
Practice Address - State:PA
Practice Address - Zip Code:16412-6002
Practice Address - Country:US
Practice Address - Phone:814-734-5036
Practice Address - Fax:814-734-7299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007285680334Medicaid
PA870021414OtherRRB
PA870021414OtherRRB
PA0536450100Medicare NSC