MEDICARE: GIANT EAGLE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PP413627L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3946425	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	870021414	OTHER	PA	RRB

General Provider Information

NPI Number	:	1548275464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIANT EAGLE INC

Provider Business Mailing Address
First Line	:	PO BOX 643559
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15264-3559
Country	:	US
Telephone Number	:	412-968-1529
Fax Number	:

Provider Business Practice Location Address
First Line	:	1671 BUTLER PLANK ROAD
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116-0000
Country	:	US
Telephone Number	:	412-492-2737
Fax Number	:	412-492-2742

Authorized Official
Title or Position	:	PHARMACY MANAGED CARE
Name	:	KELLY ANNE ZMARZLY
Credential	:
Telephone Number	:	412-968-1529

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	08/25/2025

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Directions to “GIANT EAGLE INC ” Practice Location

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