NPIMap

Organization Active NPI

Piggly Wiggly Retail Stores, Inc.

Doing business as Piggly Wiggly Pharmacy #54

  • Mail Order Pharmacy
  • Murrells Inlet, SC
National Provider Identifier
1073847463
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
8319 Issued in SC
Legal business name
PIGGLY WIGGLY RETAIL STORES, INC.
Doing business as
Piggly Wiggly Pharmacy #54
Practice address
4430 Hwy. 17 Bypass
Murrell's Inlet, SC 29576
Phone
(843) 651-5164
Fax
(843) 651-5237
NPI assigned
Oct 1, 2009
Last updated
Oct 20, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
PIGGLY WIGGLY CAROLINA CO. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Mr. David Schools
Title
President
Phone
(843) 554-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 8319 SC Primary

Addresses

Primary practice location

4430 Hwy. 17 Bypass
Murrell's Inlet, SC 29576

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
783191MedicaidSC

Other names 1

  • Piggly Wiggly Pharmacy #54 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Piggly Wiggly Retail Stores Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4430 Highway 17
Murrells Inlet, SC 29576
Phone (843) 651-5164

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1073847463",
    "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": "29423",
            "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": "4430 HWY. 17 BYPASS",
            "city": "MURRELL'S INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-651-5164",
            "fax_number": "843-651-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGLY WIGGLY RETAIL STORES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIGGLY WIGGLY CAROLINA CO. INC.",
        "enumeration_date": "2009-10-01",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "SCHOOLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-554-9880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "SC",
            "license": "8319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "783191",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piggly Wiggly Pharmacy #54",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.