Piggly Wiggly Hollywood Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5001839 Issued in SC

Legal business name

PIGGLY WIGGLY HOLLYWOOD INC

Doing business as

Piggly Wiggly Pharmacy #19

Practice address

6251 Highway 162
Hollywood, SC 29449-5782

Phone

(843) 889-6866

Fax

(843) 889-4976

NPI assigned

Jan 2, 2007

Last updated

Aug 1, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

PIGGLY WIGGLY CARLINA CO INCAs 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 2

Addresses

Other identifiers 1

Other names 1

• Piggly Wiggly Pharmacy #19 Doing business as

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1689731705",
    "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": "6251 HIGHWAY 162",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "294495782",
            "telephone_number": "843-889-6866",
            "fax_number": "843-889-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGLY WIGGLY HOLLYWOOD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIGGLY WIGGLY CARLINA CO INC",
        "enumeration_date": "2007-01-02",
        "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": "5001839",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "5001839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "718395",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piggly Wiggly Pharmacy #19",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hollywood, SC
• Providers in Hollywood, 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 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.