Healthcare Provider Details

I. General information

NPI: 1336771344
Provider Name (Legal Business Name): GIANT EAGLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 LEECHBURG RD
LOWER BURRELL PA
15068-2860
US

IV. Provider business mailing address

PO BOX 643559
PITTSBURGH PA
15264-3559
US

V. Phone/Fax

Practice location:
  • Phone: 724-212-2036
  • Fax: 724-212-2037
Mailing address:
  • Phone: 412-968-1529
  • Fax: 412-968-1727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0536450118
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerMEDICARE PTAN NUMBER

VIII. Authorized Official

Name: KELLY ANNE ZMARZLY
Title or Position: PHARMACY MANAGED CARE
Credential:
Phone: 412-968-1529