BI LO LLC (NPI# 1184717548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184717548 |
| Entity Type | Organization |
| Organization Name | BI LO LLC |
| Other Organization Name | BI LO PHARMACY |
| Practice Address |
377 W Jackson St Suite 25 Cookeville TN 38501-5930 |
| Mailing Address |
377 W Jackson St Suite 2 Cookeville TN 38501-5930 |
| Practice Telephone | 9315265585 |
| Practice Fax Number | 9315281989 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | TONYA STEPHENS (PHARMACY MANAGER) |
| Authorized Official Telephone | 9315265585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
C3324 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4421246 | 01 | |
| TN | TENNCARE | 05 | |
| OTHER ID NUMBER | 4421246 | 01 |
| 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 |
| 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 |
| 1205929304 | Bi Lo LLC | Durable Medical Equipment & Medical Supplies | 1703 Elm St West, Hampton, SC 29924 | 2006-10-02 |
| Street Address |
377 W JACKSON ST SUITE 25 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-5930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326103961 | Ronald Miranda | Optometrist | 377 W Jackson St, Cookeville, TN 38501-5930 | 2006-12-26 |
| 1588738926 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 377 W Jackson St, Jackson Plaza, Cookeville, TN 38501-5930 | 2006-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1336686617 | Upper Cumberland Rural Health LLC | Pharmacy | 225 N Willow Ave, Cookeville, TN 38501-2335 | 2017-01-25 |
| 1326479742 | Cookeville Regional Medical Center | Pharmacy | 1 Medical Center Blvd, Crmc Outpatient Pharmacy, Cookeville, TN 38501-4294 | 2013-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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.