Piggly Wiggly #35

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PIGGLY WIGGLY #35

Doing business as

Sup RX Pharmacy

Practice address

842 S 5TH St
Hartsville, SC 29550-5697

Phone

(843) 332-0762

Fax

(843) 383-9576

NPI assigned

Sep 20, 2006

Last updated

Sep 11, 2025By 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

W R McLeod, RPH

Title

Owner

Phone

(803) 775-1334

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SUP RX PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760589600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 S 5TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 S 5TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295505697",
            "telephone_number": "843-332-0762",
            "fax_number": "843-383-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGLY WIGGLY #35",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "W R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-775-1334",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50008929",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4213106",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "718178",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUP RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Ott Perkins, RN
• Phillip Perkins
• Tammy Needham Peterson
• Pharmcare USA of South Carolina, LLC (Pharmcare USA of Hartsville)
• Gray Barnes Phelps
• Audrey Pinckney
• Macy D Poaps, DMD
• Dawn Lynne Porter, AADC-IP 2108
• Danny Laverne Poston Jr., PHARM.D.
• Megan Anne Potts, ATC

• Community/Retail Pharmacy in Hartsville, SC
• Providers in Hartsville, 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 Sep 11, 2025; 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.