Provider Demographics
NPI:1548677941
Name:GIANT EAGLE INC
Entity type:Organization
Organization Name:GIANT EAGLE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGED CARE
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ZMARZLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-968-1529
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:412-968-1529
Mailing Address - Fax:
Practice Address - Street 1:3239 WASHINGTON PIKE
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1460
Practice Address - Country:US
Practice Address - Phone:412-914-0752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP415545L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA106431OtherMASS FLU
PA870021414OtherRAILROAD MEDICARE PTAN NUMBER
PA106431OtherMASS FLU