Piggly Wiggly #55, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PIGGLY WIGGLY #55, INC.

Doing business as

Piggly Wiggly Pharmacy #55

Practice address

500 2ND Loop Rd
Florence, SC 29505-2817

Phone

(843) 669-4948

Fax

(843) 662-0941

NPI assigned

Oct 19, 2007

Organization subpart

Yes

Parent organization

PIGGLY WIGGLY #55, 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 #55 Doing business as

Part of

Piggly Wiggly 55 Inc

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1699964221",
    "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": "500 2ND LOOP RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052817",
            "telephone_number": "843-669-4948",
            "fax_number": "843-662-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGLY WIGGLY #55, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIGGLY WIGGLY #55, INC.",
        "enumeration_date": "2007-10-19",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717722",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piggly Wiggly Pharmacy #55",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Michael Piccolo III, D.O.
• Judith M Pierce, PHARMACIST
• McKenzie Erin Pierce
• Douglas Andrew Pieronski, LPN
• Gerard Pierre, PHARMACIST
• Piggly Wiggly 55 Inc (Piggly Wiggly Pharmacy #55)
• Breonna Pinckney
• Danaliz Pineiro-Rivera
• Brooke Alexandria Pipkins
• Pongstorn Pitiranggon, MD

• Durable Medical Equipment & Medical Supplies in Florence, SC
• Providers in Florence, 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.