Active NPI
Avi RX LLC
Doing business as Piggly Wiggly Pharmacy
- Community/Retail Pharmacy
- Ladson, SC
National Provider Identifier
1508512435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- AVI RX LLC
- Doing business as
- Piggly Wiggly Pharmacy
- Practice address
- 9616 Highway 78 Ste 6
Ladson, SC 29456-4500 - Phone
- (843) 800-8788
- Fax
- (843) 894-7775
- NPI assigned
- Mar 1, 2022
- Last updated
- Mar 1, 2022
- 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
- Hiral Patel
- Title
- Owner
- Phone
- (848) 459-5246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
9616 Highway 78 Ste 6
Ladson, SC 29456-4500
Mailing address
129 Rivermill PL
Piedmont, SC 29673-7353
Phone (848) 459-5246
Other names 1
- Piggly Wiggly Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220921002549 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 1658756044 | Practice locations: Ladson, SC |
National Provider Directory
National Provider DirectoryLocations
9616 Highway 78
Ste 6
Ladson, SC 29456
Phone (843) 800-8788
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Greenville, SC
- NPI 1649858226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646092800000",
"number": "1508512435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 RIVERMILL PL",
"city": "PIEDMONT",
"state": "SC",
"postal_code": "296737353",
"telephone_number": "848-459-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9616 HIGHWAY 78 STE 6",
"city": "LADSON",
"state": "SC",
"postal_code": "294564500",
"telephone_number": "843-800-8788",
"fax_number": "843-894-7775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVI RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "HIRAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "848-459-5246"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Piggly Wiggly Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ladson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.