MARTINS PHARMACY #6297 (THE GIANT COMPANY, LLC) NPI 1558393553

Pharmacy (Community/Retail Pharmacy) in Lavale, MD

NPI 1558393553 Organization Pharmacy Community/Retail Pharmacy Medicare Supplier Accepts Medicare Approved Payment CLIA Number 21D2128889 CLIA Certificate of Waiver

About MARTINS PHARMACY #6297 (THE GIANT COMPANY, LLC)

Martins Pharmacy #6297 (the Giant Company, Llc) is a provider established in Lavale, Maryland specializing in pharmacy (community/retail pharmacy) . The NPI number of Martins Pharmacy #6297 (the Giant Company, Llc) is 1558393553 and was assigned on July 2006. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Martins Pharmacy #6297. The authorized official of this NPI record is Leigh Shirley (Vice President Pharmacy)

Martins Pharmacy #6297 is a medicare supplier with PTAN 3910690017 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Heat & Cold Applications or Canes and/or Crutches or Ostomy Supplies or Urological Supplies or Surgical Dressings.

The CLIA number of Martins Pharmacy #6297 is 21D2128889 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Martins Pharmacy #6297 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1558393553

Provider NameMARTINS PHARMACY #6297 (THE GIANT COMPANY, LLC)
Provider Location Address12101 WINCHESTER RD LAVALE, MD 21502
Provider Mailing Address1149 HARRISBURG PIKE CARLISLE, PA 17013
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameMARTINS PHARMACY #6297
Other Name TypeDoing Business As (3)
Enumeration Date07-07-2006
Last Update Date11-23-2020


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
Taxonomy DescriptionA 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.

Business Address

MARTINS PHARMACY #6297
12101 WINCHESTER RD
LAVALE, MD
ZIP 21502
Phone: (301) 729-3028
Fax: (301) 729-3534

Get Directions


Mailing Address

MARTINS PHARMACY #6297
1149 HARRISBURG PIKE
CARLISLE, PA
ZIP 17013
Phone:



Authorized Official

Authorized Official Name LEIGH SHIRLEY
Authorized Official TitleVICE PRESIDENT PHARMACY
Authorized Official Phone(717) 240-1506

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN3910690017
Accepts Medicare AssignmentYES
Specialities ListPharmacy, Grocery Store.
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
Competitive BiddingNO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1558393553 is:

CLIA Number21D2128889
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1333600000XSuppliersPharmacyP02327MDNo

Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2123379OTHER (01)
3810007693MEDICAID (05)WV
406671500MEDICAID (05)MD

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306863360WESTERN MARYLAND MEDICAL SUPPLY
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)12101 WINCHESTER RD SUITE 1A
LAVALE, MD 21502
(301) 729-4280
1386044436MR. AARON BARTH PHARMD
Individual
Pharmacist12101 WINCHESTER RD
LAVALE, MD 21502
(301) 729-9740
1528693975 JENNIFER FLEGAL
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)12101 WINCHESTER RD
LAVALE, MD 21502
(301) 729-9740

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.