Giant Eagle INC
Pharmacy, Community/Retail Pharmacy in Verona, PA. Organization (NPI-2).
NPI number1790790624
StatusActive
Last updated in NPPESAug 5, 2026
Details
- NPI
- 1790790624
- Entity type
- Organization (NPI-2)
- Legal business name
- Giant Eagle INC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2006
- Certification date
- Aug 5, 2026
- Last updated
- Aug 5, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | PP414468L | PA |
Other names
- Giant Eagle Pharmacy 2404 (Doing Business As)
Practice location
200 Allegheny River BlvdVerona, PA 15147-1053
Phone 412-828-1256 · Fax 724-592-7494
Mailing address
Po Box 643559Pittsburgh, PA 15264-3559
Authorized official
Kelly Anne Zmarzly
Managed Care Credentialing Coordina
4129681529
Is something wrong?
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