| NPI | 1083629901 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-29 |
| Last Updated | 2025-08-11 |
| Authorized Official | Kelly Zmarzly Managed Care Credentialing Phone: 4129681529 |
| Mailing Address | 700 Cranberry Woods Dr Cranberry Twp, PA 16066-5213 United States Phone: (412) 968-1529 | Fax: (412) 406-1561 📍 View Map |
| Primary Practice Address | 510 Marwalt Ln Roaring Spring, PA 16673-2130 United States Phone: (814) 224-4201 | Fax: (814) 224-0067 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | PA | 1007285680259 | — |
| Other (non-Medicare) | — | 3956111 | Other ID Number-Commercial Number |
| Other (non-Medicare) | PA | 870021414 | RRB |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | PA | PP414064L |
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About NPI 1083629901
Giant Eagle Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083629901. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Roaring Spring, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083629901?
NPI 1083629901 belongs to Giant Eagle Inc, a Pharmacy, Community/Retail Pharmacy in Roaring Spring, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083629901 active?
The current status of NPI 1083629901 in the NPPES registry is Active. The record was last updated on 2025-08-11.
What specialty is NPI 1083629901?
NPI 1083629901 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083629901?
You can verify NPI 1083629901 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083629901?
The primary practice address on file for NPI 1083629901 is 510 Marwalt Ln, Roaring Spring, PA 16673-2130. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083629901 issued?
NPI 1083629901 was first issued (enumerated) on 2006-07-29. The NPPES record was last updated on 2025-08-11.
Practice Location Map
Giant Eagle Inc is located at 510 Marwalt Ln, Roaring Spring, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Giant Eagle Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083629901. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PP414064L | PA |