OrganizationActive
Giant of Maryland LLC
NPI 1104859446 · Community/Retail Pharmacy · Manassas, VA
Provider details
- NPI number
- 1104859446
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Brad Dayton, Director(617) 770-8782
- License
- 0201003045 (VA)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8819 Centreville Rd
Manassas, VA 20110-5203
Phone: (703) 361-5521
Fax: (703) 335-9851
Street-level locationGet directions
Mailing address
8819 Centreville Rd
Manassas, VA 20110-5203
Other names (DBA / former)
- Doing business as
- Giant Pharmacy 768
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2011-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.