# GIANT OF MARYLAND LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AHOLD USA
- **Other names:** GIANT PHARMACY 375
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629001979
- **Legal business name:** AHOLD USA
- **Authorized official:** GAYLE SHIELDS RPH (VP)
- **Authorized official phone:** (301) 957-5004

## Contact information

- **Practice address:** 1050 BRENTWOOD RD NE, WASHINGTON, DC 20018-1000
- **Practice address phone:** (202) 281-3901
- **Practice address fax:** (202) 281-3903
- **Mailing address:** 1149 HARRISBURG PIKE, THIRD PARTY COORDINATOR, CARLISLE, PA 17013-1607
- **Mailing address phone:** (717) 960-8553
- **Mailing address fax:** (717) 960-1389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | RX0200327 | DC | — |
| 333600000X | Pharmacy | RX0200327 | DC | — |
| 3336C0003X | Community/Retail Pharmacy | RX0200327 | DC | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 11/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0904311 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 400350100 | — | DC |