BI LO LLC (NPI# 1043303407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043303407 |
| Entity Type | Organization |
| Organization Name | BI LO LLC |
| Other Organization Name | BI-LO PHARMACY #5448 |
| Practice Address |
860 Folly Rd Charleston SC 29412-3435 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 8434067515 |
| Practice Fax Number | 8434067614 |
| Mailing Telephone | 9047835578 |
| Mailing Fax Number | 9043707382 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2013-07-15 |
| Authorized Official Name | M. SANDLIN GRIMM (SECRETARY) |
| Authorized Official Telephone | 9047835578 |
| Is Organization Subpart | Y |
| Parent Organization Name | BI LO LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
14449 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 710178 | 05 | |
| SC | SC MED DME | DE2108 | 01 |
| SC | 714449 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4216784 | 01 |
| Other Name | Type Code |
|---|---|
| BI-LO PHARMACY #5448 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104919398 | Bi Lo LLC | Pharmacy | 35 West Bypass, Burnsville, NC 28714 | 2006-10-02 |
| 1386737484 | Bi Lo LLC | Pharmacy | 401 Roper Mtn Road, Greenville, SC 29615 | 2006-10-02 |
| 1477646578 | Bi Lo LLC | Pharmacy | 28 Bypass Highway 24, Anderson, SC 29625 | 2006-10-02 |
| 1184717548 | Bi Lo LLC | Pharmacy | 377 W Jackson St, Suite 25, Cookeville, TN 38501-5930 | 2006-09-30 |
| 1174616536 | Bi Lo LLC | Pharmacy | 4011 Brainerd Rd, Chattanooga, TN 37411-3724 | 2006-09-30 |
| 1265525620 | Bi Lo LLC | Pharmacy | 1866 Decatur Pike, Athens, TN 37303-4922 | 2006-09-30 |
| 1992898357 | Bi Lo LLC | Pharmacy | 1691 Memorial Blvd, Murfreesboro, TN 37129-2109 | 2006-09-30 |
| 1083707442 | Bi Lo LLC | Pharmacy | 2310 Mcgrady Dr Se, Cleveland, TN 37323-7146 | 2006-09-30 |
| 1447343801 | Bi Lo LLC | Pharmacy | 115 Browns Ferry Rd, Chattanooga, TN 37419-1713 | 2006-09-30 |
| 1740373109 | Bi Lo LLC | Pharmacy | 2111 N Pleasantburg Dr, Greenville, SC 29609-3136 | 2006-09-30 |
| Street Address |
860 FOLLY RD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29412-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073899712 | Scott Hill | Pharmacist | 860 Folly Rd, Charleston, SC 29412-3435 | 2011-10-26 |
| 1295364800 | Elizabeth Flynn | Pharmacist | 860 Folly Rd, Charleston, SC 29412-3435 | 2020-04-06 |
| 1336509173 | Kayla Jax | Pharmacy Technician | 860 Folly Rd, Charleston, SC 29412-3435 | 2016-03-04 |
| 1811244890 | Bryan King | Pharmacist | 860 Folly Rd, Charleston, SC 29412-3435 | 2012-08-09 |
| 1497026595 | Timothy Ray Bryson | Pharmacist | 860 Folly Rd, Charleston, SC 29412 | 2012-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219055 | Terra Rae Mchugh | Speech-Language Pathologist | 418 Folly Rd. Phc Rehab, Suite B, Charleston, SC 29412 | 2020-03-07 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1760956619 | Madison Culler, D.m.d., P.a. | Dentist | 211 Simmons Street, Mount Pleasant, SC 29412 | 2019-01-14 |
| 1366932717 | Harborview Speech Therapy, LLC | Speech-Language Pathologist | 783 Stebbins Street, Charleston, SC 29412 | 2018-05-11 |
| 1780193003 | Grace K Cotton | Speech-Language Pathologist | 1265 Marshview Dr, Charleston, SC 29412 | 2017-09-29 |
| 1639628449 | Matthew Husband | Occupational Therapist | 930 Folly Road, Suite B, Charleston, SC 29412 | 2016-09-22 |
| 1679941843 | Renee Poser | Pharmacist | 907 Folly Rd Suite A, James Island, SC 29412 | 2015-09-04 |
| 1508205717 | Amanda Marie Ashcraft | Dental Hygienist | 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 | 2013-06-20 |
| 1104147818 | Glendolyn Harrison | Social Worker | 125e Wappoo Creek Drive, Suite 101e, Charleston, SC 29412 | 2010-06-16 |
| 1487986055 | Rachel E. Brunette | Physical Therapist | 418 B Folly Rd., Charleston, SC 29412 | 2010-02-08 |
| Find all providers in zip 29412 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1134788649 | Eagle Pharmacy LLC | Pharmacy | 4216 Maccorkle Ave Se Ste 5, Charleston, WV 25304-2539 | 2019-06-08 |
| 1639737349 | Medical University Hospital Authority | Pharmacy | 10 Mcclennan Banks Drive, Charleston, SC 29425-0001 | 2019-05-29 |
| 1134696230 | Holy City Pharmacy LLC | Pharmacy | 354 Folly Rd Ste 1, Charleston, SC 29412-2594 | 2018-10-26 |
| 1013428176 | Longs Drugstores of Sc Inc | Pharmacy | 1481 Tobias Gadson Blvd Ste 2d, Charleston, SC 29407-4794 | 2017-10-17 |
| 1407379449 | Walgreen Co | Pharmacy | 334 E Bay St Unit D, Charleston, SC 29401-1592 | 2017-07-21 |
| 1720495401 | Good Life Apothecary, Inc | Pharmacy | 3212 Penn Ave # 8, Charleston, WV 25302-4537 | 2014-07-15 |
| 1508008202 | Delta of Charleston Inc | Pharmacy | 320 E Bay St, Charleston, SC 29401-1681 | 2009-03-27 |
| 1063507861 | Medisav Homecare Pharmacies Inc. | Pharmacy | 621 E Main, Charleston, AR 72933 | 2006-10-04 |
| 1447354246 | South Carolina Cvs Pharmacy, L.L.C. | Pharmacy | 2566 Ashley River Rd, Charleston, SC 29414-4605 | 2006-09-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29412 |
Please comment or provide details below to improve the information on BI LO LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.