Bi-Lo Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

9437 Issued in SC

Legal business name

BI-LO PHARMACY

Practice address

110 S Highway 52
Moncks Corner, SC 29461-3954

Phone

(843) 761-5506

Fax

(843) 761-0965

NPI assigned

Nov 22, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jimmy Lifsey

Title

Pharmacy Manager

Phone

(843) 761-5506

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Cammer

  • Pharmacist
  • Moncks Corner, SC
  • NPI 1134492077
  NPD (past)
• Leslie Erin Blackmon Stelling, PHARM D

  • Pharmacist
  • Lake City, SC
  • NPI 1891093845
  NPD (past)

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1679840490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613954",
            "telephone_number": "843-761-5506",
            "fax_number": "843-761-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613954",
            "telephone_number": "843-761-5506",
            "fax_number": "843-761-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BI-LO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "LIFSEY",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "843-761-5506",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "9437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLR",
            "identifier": "9437",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin M Berkey, LPC
• Berry Massagetherapy & Chiropractic Center
• David Glass Berry, N.M.T.
• Katie Bert, DPT
• Faith Bevins, PTA
• Julie Black
• Jordan Blackstone, PHARMD
• Suzanne Morris Blakeley, FNP
• Sophia Bay Blumberg, BS
• Laronda Boddie

• Pharmacy in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.