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GIANT PHARMACY #308
NPI 1417980764
Pharmacy - Community/Retail Pharmacy in Edgewater, MD

Active since July 09, 2006CLIA 21D2088539 · Waiver
13 LEE AIRPORT ROAD, EDGEWATER, MD 21037(410) 956-4150(410) 956-3098 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Giant Pharmacy #308 NPPES

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

GIANT PHARMACY #308 (NPI 1417980764) is a healthcare organization registered as a community/retail pharmacy in Edgewater, Maryland and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Alison Farrell, Director, Pharmacy Third Party, as its authorized official.

NPPES Registry Identity

NPI1417980764
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGIANT OF MARYLAND LLC
Location Address13 LEE AIRPORT ROADEdgewater, MD 21037
Mailing Address1149 Harrisburg PikeCarlisle, PA 17013-1607 · (717) 240-5520 · Fax (717) 960-8371
Phone(410) 956-4150
Fax(410) 956-3098
Organization SubpartNo
Authorized OfficialAlison FarrellDirector, Pharmacy Third Party · (717) 240-1526
Enumeration DateJuly 9, 2006
Last NPPES UpdateDecember 22, 2014
✔ NPI 1417980764 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 · PO0290
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 PO0290 (MD)
Also ListedPharmacyTaxonomy 333600000X · License PO0290 (MD)
13 LEE AIRPORT ROAD, Edgewater, MD 21037
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Other Names 1

Doing Business AsGiant Pharmacy #308

Other Identifiers 4

Medicare NSC4081710016
Other2111350Other Id Number-commercial Number
Medicaid689504200MD
Medicare NSC4081710016MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from NH Healthy Families and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Giant Pharmacy #308 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20100930016207DME · PharmacyDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 21D2088539

Giant Pharmacy #308 · Edgewater, MD
Active · expires Dec 15, 2026
CLIA Number21D2088539
Laboratory TypePharmacy
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorBrendon P. Mcquighan
Laboratory Phone(410) 956-4150
Laboratory LocationGiant Pharmacy #30813 Lee Airport Road Ahold Usa Pharmacy Dept, Edgewater, MD 21037
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 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.
328 services325 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.
163 services163 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.
149 services148 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.
23 services23 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.
20 services20 patients

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Giant Pharmacy #308 carries, from the Medicare DMEPOS supplier directory.

Giant Pharmacy #308

DMEPOS supplier · Edgewater, MDOperated by Giant Of Maryland LLC
✔

Accepts Medicare assignment

Giant Pharmacy #308 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20539085
Medicare Participant SinceSeptember 1, 2010
Supplier Location13 Lee Airpark DrEdgewater, MD 21037
Phone(410) 956-4150
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Giant Of Maryland LLC's NPI number?

The NPI number for Giant Of Maryland LLC is 1417980764. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Giant Pharmacy #308.

Where is Giant Of Maryland LLC located?

Giant Of Maryland LLC is located at 13 Lee Airport Road, Edgewater, MD 21037. The listed phone number is (410) 956-4150.

What is Giant Of Maryland LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Giant Of Maryland LLC enrolled in Medicare?

Yes. Giant Of Maryland LLC is registered in the Medicare PECOS enrollment system.

When is Giant Of Maryland LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Maryland, Pharmacy) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Giant Of Maryland LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Giant Pharmacy #308 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Giant Of Maryland LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2088539) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Giant Of Maryland LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from NH Healthy Families and 37 other insurers list Giant Of Maryland LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Giant Of Maryland LLC was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.