Piggly Wiggly Lake City, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5001776 Issued in SC

Legal business name

PIGGLY WIGGLY LAKE CITY, INC.

Doing business as

Piggly Wiggly Pharmacy #48

Practice address

269 N Ron McNair Blvd
Lake City, SC 29560-2437

Phone

(843) 394-3121

Fax

(843) 394-2551

NPI assigned

Jan 2, 2007

Last updated

Aug 1, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

PIGGLY WIGGLY CAROLINA CO. INCAs reported in NPPES

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

Authorized official

Name

Mr. David R. Schools

Title

Ceo/President

Phone

(843) 554-9880

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Piggly Wiggly Pharmacy #48 Doing business as

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1366509440",
    "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": "294238047",
            "telephone_number": "843-554-9980",
            "fax_number": "843-202-8211"
        },
        {
            "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": "YES",
        "parent_organization_legal_business_name": "PIGGLY WIGGLY CAROLINA CO. INC",
        "enumeration_date": "2007-01-02",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "SCHOOLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "843-554-9880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "5001776",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "5001776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717766",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piggly Wiggly Pharmacy #48",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pee Deediabetic Consultants
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• Andrea Phillips, DPT
• Piggly Wiggly Lake City Inc (price wise pharmacy # 48)
• Piggly Wiggly Lake City Inc (Piggly Wiggly Pharmacy)
• Piggly Wiggly Lake City, Inc. (Piggly Wiggly Pharmacy #48)
• Jane Dixon Player, RPH,CDE
• Denita Alison Pleasant, PHARMD
• Leslie Poston Floyd
• Lauren Bingham Powell

• Community/Retail Pharmacy in Lake City, SC
• Providers in Lake City, 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, 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.