Piggly Wiggly of Westmart Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50002786 Issued in SC

Legal business name

PIGGLY WIGGLY OF WESTMART INC

Practice address

1011 Broad St
Sumter, SC 29150-2504

Phone

(803) 773-6378

Fax

(803) 775-6771

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Olive Dubose, PHARMDNPI 1093013674

Title

Pharmacy Manager

Phone

(803) 773-6378

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• SUP RX PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olive Elizabeth Dubose

  • Pharmacist
  • Sumter, SC
  • NPI 1093013674
  NPD Authorized official
• Margaret Binney, PHARMD

  • Pharmacist
  • Sumter, SC
  • NPI 1194332486
  NPD
• Elizabeth Hayley Smoak Gibbons

  • Pharmacist
  • Sumter, SC
  • NPI 1780494443
  NPD (past)
• Ashlee Howell Lloyd, PHARMD

  • Pharmacist
  • Sumter, SC
  • NPI 1841578010
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1104924141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502504",
            "telephone_number": "803-773-6378",
            "fax_number": "803-775-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502504",
            "telephone_number": "803-773-6378",
            "fax_number": "803-775-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGLY WIGGLY OF WESTMART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "DUBOSE",
        "authorized_official_first_name": "OLIVE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "803-773-6378",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50002786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "727867",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090384",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2042",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUP RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physicians Health & Injury Clinic
• Cory B Pickens, DPT
• Belinda Pickett, NP-C
• Rhasauna Pierce, CPM
• Piggly Wiggly Calhoun Inc
• Piggly Wiggly South Inc
• Jennifer T Pilot
• Pinewood Opco LLC
• Omar Adolio Pinilla, M.D,
• Vijay Paul Pinto, M.D.

• Community/Retail Pharmacy in Sumter, SC
• Providers in Sumter, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.