Organization Active NPI

Piggly Wiggly Lake City Inc

  • Durable Medical Equipment & Medical Supplies
  • Lake City, SC
National Provider Identifier
1275729444
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 22, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.