Active NPI
Piggly Wiggly Lake City Inc
- Durable Medical Equipment & Medical Supplies
- Lake City, SC
National Provider Identifier
1275729444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PIGGLY WIGGLY LAKE CITY INC
- Practice address
- 269 N Ron McNair Blvd
Lake City, SC 29560-2437 - Phone
- (843) 394-3121
- Fax
- (843) 394-2551
- NPI assigned
- Sep 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Spencer M. Player
- Title
- MGR
- Phone
- (843) 394-3121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
269 N Ron McNair Blvd
Lake City, SC 29560-2437
Mailing address
269 N. Ron McNair Blvd.
Lake City, SC 29560-2428
Phone (843) 394-3121
Other names 1
- price wise pharmacy # 48
National Provider Directory
National Provider DirectoryLocations
269 N Ron McNair Blvd
Lake City, SC 29560
Phone (843) 394-3121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285113600000",
"number": "1275729444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 N. RON MCNAIR BLVD.",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295602428",
"telephone_number": "843-394-3121",
"fax_number": "843-394-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 N RON MCNAIR BLVD",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295602437",
"telephone_number": "843-394-3121",
"fax_number": "843-394-2551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIGGLY WIGGLY LAKE CITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2010-09-22",
"status": "A",
"authorized_official_last_name": "PLAYER",
"authorized_official_first_name": "SPENCER",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "843-394-3121",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "price wise pharmacy # 48",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake City, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.