BI LO LLC (NPI# 1174616536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174616536 |
| Entity Type | Organization |
| Organization Name | BI LO LLC |
| Other Organization Name | BI LO PHARMACY |
| Practice Address |
4011 Brainerd Rd Chattanooga TN 37411-3724 |
| Practice Telephone | 4236220799 |
| Practice Fax Number | 4236224785 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEN MOYER (PHARMACY MANAGER) |
| Authorized Official Telephone | 4236220799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 3061 | TN | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4429759 | 01 | |
| TN | 1452810 | 05 |
| Other Name | Type Code |
|---|---|
| BI LO PHARMACY | 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 |
| 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 |
| 1205929304 | Bi Lo LLC | Durable Medical Equipment & Medical Supplies | 1703 Elm St West, Hampton, SC 29924 | 2006-10-02 |
| Street Address |
4011 BRAINERD RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37411-3724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
| 1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
| 1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
| 1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
| 1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
| 1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
| 1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
| 1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
| 1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
| 1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
| Find all providers in zip 37411 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450370 | Shreeya Drugs Inc | Pharmacy | 801 Broad St Ste 100, Chattanooga, TN 37402-2624 | 2019-10-30 |
| 1740723840 | Shakti Drugs | Pharmacy | 4531 Highway 58 Ste 105, Chattanooga, TN 37416-3010 | 2016-11-22 |
| 1447610019 | Sai Geeta Drug LLC | Pharmacy | 3602 Brainerd Rd, Chattanooga, TN 37411-3601 | 2016-02-25 |
| 1780757542 | Specialty Healthcare Partners, Inc. | Pharmacy | 6116 Shallowford Rd Ste 118, Chattanooga, TN 37421-7202 | 2006-11-17 |
| 1447343801 | Bi Lo LLC | Pharmacy | 115 Browns Ferry Rd, Chattanooga, TN 37419-1713 | 2006-09-30 |
| 1477657435 | Kingwood Pharmacy Inc | Pharmacy | 3824 Ringgold Rd, Chattanooga, TN 37412-1640 | 2006-09-12 |
| 1992111306 | Publix Tennessee LLC | Pharmacy | 400 N Market St, Chattanooga, TN 37405-4433 | 2014-07-07 |
| 1124273230 | On Site Rx Inc | Pharmacy | 620 E 11th St, Chattanooga, TN 37403-3101 | 2008-11-18 |
| 1780724765 | Express Rx Inc | Pharmacy | 7032 E Brainerd Rd, Chattanooga, TN 37421-3881 | 2007-02-07 |
| 1871524876 | K Mart Corp | Pharmacy | 4801 Highway 58, Chattanooga, TN 37416-1826 | 2006-07-06 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37411 |
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.