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

General Provider Information

NPI Number	:	1568333219
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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 VIRGINIA AVE
Second Line	:
City	:	MOUNT WASHINGTON
State	:	PA
Zip	:	15211-1511
Country	:	US
Telephone Number	:	412-222-5751
Fax Number	:

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

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	11/20/2025

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Directions to “GIANT EAGLE INC ” Practice Location

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