GIANT PHARMACY 196
NPI 1003841057
Pharmacy - Community/Retail Pharmacy in Gaithersburg, MD

Active since July 11, 2006CLIA 21D2088542 · Waiver
20044 GOSHEN RD, GAITHERSBURG, MD 20879(301) 990-0627(301) 926-8661 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Giant Pharmacy 196 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIANT PHARMACY 196 (NPI 1003841057) is a healthcare organization registered as a community/retail pharmacy in Gaithersburg, Maryland and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Brad Dayton, Manager, as its authorized official.

NPPES Registry Identity

NPI1003841057
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGIANT OF MARYLAND LLC
Location Address20044 GOSHEN RDGaithersburg, MD 20879-1604
Mailing Address20044 Goshen RdGaithersburg, MD 20879-1604
Fax(301) 926-8661
Organization SubpartNo
Authorized OfficialBrad DaytonManager · (617) 770-8782
Enumeration DateJuly 11, 2006
Last NPPES UpdateSeptember 23, 2011
NPI 1003841057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MD · PO1411
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License PO1411 (MD)
Also ListedPharmacyTaxonomy 333600000X · License PO1411 (MD)
20044 GOSHEN RD, Gaithersburg, MD 20879

Other Names 1

Doing Business AsGiant Pharmacy 196

Other Identifiers 3

Medicaid696304800MD
Medicare NSC4081710088MD
Other2115675Other Id Number-commercial Number

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2088542

Giant Pharmacy #196 · Gaithersburg, MD
Active · expires Dec 15, 2026
CLIA Number21D2088542
Laboratory TypePharmacy
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorWilhelmina Taylor
Laboratory Phone(301) 990-0627
Laboratory LocationGiant Pharmacy #19620044 Goshen Road, Gaithersburg, MD 20879
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
243 services242 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
158 services158 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
72 services71 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
16 services16 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
15 services15 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20538689
Accepts Medicare Assignment
YES
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
20044 GOSHEN RD
GAITHERSBURG, MD 20879
Pharmacist
20044 GOSHEN RD
GAITHERSBURG, MD 20879

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003841057, enumerated as an "organization" on July 11, 2006.

The provider is located at 20044 GOSHEN RD GAITHERSBURG, MD 20879 and the phone number is (301) 990-0627.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.