Piggly Wiggly Retail Stores, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5004103 Issued in SC

Legal business name

PIGGLY WIGGLY RETAIL STORES, INC.

Doing business as

Piggly Wiggly Pharmacy #112

Practice address

100 Railroad Ave.
Lamar, SC 29069-0625

Phone

(843) 326-5231

Fax

(843) 326-5068

NPI assigned

Oct 4, 2007

Last updated

Aug 1, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

PIGGLY WIGGLY RETAIL STORES, INC.As 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 1

Addresses

Other identifiers 1

Other names 1

• Piggly Wiggly Pharmacy #112 Doing business as

Part of

Piggly Wiggly Folly Rd

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1669660528",
    "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": "843-554-9880",
            "fax_number": "843-202-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RAILROAD AVE.",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "290690625",
            "telephone_number": "843-326-5231",
            "fax_number": "843-326-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGLY WIGGLY RETAIL STORES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIGGLY WIGGLY RETAIL STORES, INC.",
        "enumeration_date": "2007-10-04",
        "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": "5004103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "741037",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piggly Wiggly Pharmacy #112",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gretchen Anne McCathern, RPT
• Joshua Dennis Murphy, FNP
• Tina Celeste Outlaw, BSW,MSW, LISW-CP
• Catherine Cummings Parnell, RN
• Piggly Wiggly of Lamar LLC (Piggly Wiggly Pharmacy #196)
• Kendall Shelby Rivers
• Jim Sandlin, RPH
• Jacqueline G. Stephens, PHD, APRN, AGNP-C
• Tony Skorput, PA (Skorput Rehabilitation & Wellness)
• April Watford

• Durable Medical Equipment & Medical Supplies in Lamar, SC
• Providers in Lamar, SC by specialty
• Durable Medical Equipment & Medical Supplies 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.