Organization Active NPI

Avi RX LLC

Doing business as Piggly Wiggly Pharmacy

  • Community/Retail Pharmacy
  • Ladson, SC
National Provider Identifier
1508512435
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220921002549 SC Part B Supplier - Mass Immunization (Roster Biller Only) 1658756044 Practice locations: Ladson, SC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.