NPIMap

Organization Active NPI

Piggly Wiggly Folly Rd.

  • Durable Medical Equipment & Medical Supplies
  • Charleston, SC
National Provider Identifier
1407093974
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PIGGLY WIGGLY FOLLY RD.
Practice address
1985 Folly Rd
Charleston, SC 29412-9577
Phone
(843) 762-6591
Fax
(843) 762-9377
NPI assigned
Jan 20, 2009
Organization subpart
Yes
Parent organization
PIGGLY WIGGLY CAROLINA, CO. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Mr. David Schools
Title
President
Phone
(843) 554-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1985 Folly Rd
Charleston, SC 29412-9577

Mailing address

4401 Piggly Wiggly Dr.
PO Box 118047
Charleston, SC 29423
Phone (843) 554-9980

Other identifiers 1

IdentifierTypeStateIssuer
781113MedicaidSC

Other names 1

  • Piggly Wiggly Pharmacy #17 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Piggly Wiggly Retail Storesinc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1407093974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PIGGLY WIGGLY DR.",
            "address_2": "PO BOX 118047",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29423",
            "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": "1985 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294129577",
            "telephone_number": "843-762-6591",
            "fax_number": "843-762-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGLY WIGGLY FOLLY RD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIGGLY WIGGLY CAROLINA, CO. INC.",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "SCHOOLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "781113",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piggly Wiggly Pharmacy #17",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.