Organization Active NPI

Piggly Wiggly of Lamar LLC

  • Community/Retail Pharmacy
  • Lamar, SC
National Provider Identifier
1164589289
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15465 Issued in SC
Legal business name
PIGGLY WIGGLY OF LAMAR LLC
Practice address
100 N Railroad Ave
Lamar, SC 29069-9726
Phone
(843) 326-5231
Fax
(843) 326-5068
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Ginger Dail, PHARMD
Title
Pharmacist
Phone
(843) 326-5231

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 15465 SC Primary

Addresses

Primary practice location

100 N Railroad Ave
Lamar, SC 29069-9726

Mailing address

100 N Railroad Ave
Lamar, SC 29069-9726
Phone (843) 326-5231

Other identifiers 1

IdentifierTypeStateIssuer
2152740OtherPK

Other names 1

  • Piggly Wiggly Pharmacy #196 Doing business as

National Provider Directory

National Provider Directory

Locations

3353 Highway 72 221 E
Greenwood, SC 29649
Phone (864) 229-5225

4450 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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1164589289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N RAILROAD AVE",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "290699726",
            "telephone_number": "843-326-5231",
            "fax_number": "843-326-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N RAILROAD AVE",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "290699726",
            "telephone_number": "843-326-5231",
            "fax_number": "843-326-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGLY WIGGLY OF LAMAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "DAIL",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "843-326-5231",
        "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": "15465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piggly Wiggly Pharmacy #196",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamar, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.