Piggly Wiggly Lake City Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13328 Issued in SC

Legal business name

PIGGLY WIGGLY LAKE CITY INC

Doing business as

Piggly Wiggly Pharmacy

Practice address

269 N Ron McNair Blvd
Lake City, SC 29560-2437

Phone

(843) 394-3121

Fax

(843) 394-2551

NPI assigned

Aug 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Spencer McGill Player, RPH

Title

MGR

Phone

(843) 394-3121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PIGGLY WIGGLY PHARMACY Doing business as

Tax ID family

Price Wise Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Piggly Wiggly Lake City, Inc.

  dba Piggly Wiggly Pharmacy #48

  • Durable Medical Equipment & Medical Supplies
  • Lake City, SC
  • NPI 1588853519
  NPD tax ID

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1922356963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 N RON MCNAIR BLVD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602437",
            "telephone_number": "843-394-3121",
            "fax_number": "843-394-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 N RON MCNAIR BLVD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602437",
            "telephone_number": "843-394-3121",
            "fax_number": "843-394-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGLY WIGGLY LAKE CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "PLAYER",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "MCGILL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "843-394-3121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "13328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275729444",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIGGLY WIGGLY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pee Dee Physical Therapy, Inc.
• Pee Deediabetic Consultants
• Alice Washington Peterson, LMT
• Andrea Phillips, DPT
• Piggly Wiggly Lake City Inc (price wise pharmacy # 48)
• Piggly Wiggly Lake City, Inc. (Piggly Wiggly Pharmacy #48)
• Piggly Wiggly Lake City, Inc. (Piggly Wiggly Pharmacy #48)
• Jane Dixon Player, RPH,CDE
• Denita Alison Pleasant, PHARMD
• Leslie Poston Floyd

• Community/Retail Pharmacy in Lake City, SC
• Providers in Lake City, 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 23, 2012; 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.