Organization Active NPI

Piggly Wiggly Andrews, Inc.

Doing business as Piggly Wiggly Pharmacy #16

  • Durable Medical Equipment & Medical Supplies
  • Andrews, SC
National Provider Identifier
1003004995
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5001882 Issued in SC
Legal business name
PIGGLY WIGGLY ANDREWS, INC.
Doing business as
Piggly Wiggly Pharmacy #16
Practice address
15 West Ashland Ave.
Andrews, SC 29510-2543
Phone
(843) 264-3291
Fax
(843) 264-5425
NPI assigned
Oct 5, 2007
Last updated
Aug 1, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PIGGLY WIGGLY ANDREWS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David R. School
Title
Ceo/President
Phone
(843) 554-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5001882 SC Primary

Addresses

Primary practice location

15 West Ashland Ave.
Andrews, SC 29510-2543

Mailing address

PO Box 118047
Charleston, SC 29423-8047
Phone (843) 554-9880

Other identifiers 1

IdentifierTypeStateIssuer
718828MedicaidSC

Other names 1

  • Piggly Wiggly Pharmacy #16 Doing business as

National Provider Directory

National Provider Directory
Part of
Piggly Wiggly Andrews Inc

Locations

15 W Ashland St
Andrews, SC 29510
Phone (843) 264-3291

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1003004995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118047",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294238047",
            "telephone_number": "843-554-9880",
            "fax_number": "843-202-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WEST ASHLAND AVE.",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295102543",
            "telephone_number": "843-264-3291",
            "fax_number": "843-264-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGLY WIGGLY ANDREWS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIGGLY WIGGLY ANDREWS, INC.",
        "enumeration_date": "2007-10-05",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "SCHOOL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "843-554-9880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "5001882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "718828",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piggly Wiggly Pharmacy #16",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andrews, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.