Piggly Wiggly of Manning Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50000946 Issued in SC

Legal business name

PIGGLY WIGGLY OF MANNING INC.

Doing business as

SupRx #32

Practice address

36 Sunset Dr
Manning, SC 29102-2927

Phone

(803) 433-2412

Fax

(803) 433-8202

NPI assigned

Jul 30, 2006

Last updated

Mar 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William R McLeod Jr.

Title

Owner

Phone

(803) 773-6378

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SupRx #32 Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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.

• Martha Elaine Norsworthy, PHARMD

  • Pharmacist
  • Manning, SC
  • NPI 1457957672

  Community/Retail Pharmacy

  NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1548275142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SUNSET DR",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022927",
            "telephone_number": "803-433-2412",
            "fax_number": "803-433-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SUNSET DR",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022927",
            "telephone_number": "803-433-2412",
            "fax_number": "803-433-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGLY WIGGLY OF MANNING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-773-6378",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50000946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089725",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "709460",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SUPRX32@FTC-I.NET",
            "affiliation": "Y",
            "endpointDescription": "SUPRX  #32",
            "affiliationName": "Piggly Wiggly of Manning Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "WILLIAM R. MCLEOD",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OWNER",
            "address_1": "36 Sunset Dr",
            "city": "Manning",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291022927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SupRx #32",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joshua Taylor Perry, DO
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• Tammy Wynette Plemons-Sandifer
• Sandra D Pompey
• Stacy Nichole Poole, APRN, FNP-C
• Virginia Ellis Powell, PHARMD
• Professional Care of Manning, LLC

• Community/Retail Pharmacy in Manning, SC
• Providers in Manning, 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 Mar 17, 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.