BI LO LLC (NPI# 1205929304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205929304 |
| Entity Type | Organization |
| Organization Name | BI LO LLC |
| Other Organization Name | BI-LO PHARMACY #5712 |
| Practice Address |
1703 Elm St West Hampton SC 29924 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 8039430683 |
| Practice Fax Number | 8039430783 |
| Mailing Telephone | 9047835578 |
| Mailing Fax Number | 9043707382 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-07-17 |
| 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 | 14460 | SC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4226014 | 01 | |
| SC | MEDICAID DME | DE2744 | 01 |
| SC | 714460 | 05 | |
| SC | 784641 | 05 |
| Other Name | Type Code |
|---|---|
| BI-LO Pharmacy #5712 | 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 |
1703 ELM ST WEST |
| City | HAMPTON |
| State | SC |
| Zip Code | 29924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194010348 | Denise A. Pinckney | Pharmacist | 1703 Elm St West, Hampton, SC 29924 | 2011-06-16 |
| 1952744393 | Dana Daughtry Irving | Pharmacist | 1703 Elm St West, Hampton, SC 29924 | 2013-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295247526 | Brittany Bernardino | Pharmacist | 1703 Elm Street W, Hampton, SC 29924 | 2017-10-26 |
| 1497278345 | Bryce Alan Stafford | Pharmacist | 1703 Elm Street West, Hampton, SC 29924 | 2017-07-24 |
| 1427486034 | Teresa L Gooding | Pharmacist | 1703 Elm Stree West, Hampton, SC 29924 | 2013-10-16 |
| 1811241672 | Sc Department of Juvenile Justice | Community/Behavioral Health | 230 1st Street East, Suite 7, Hampton, SC 29924 | 2012-11-01 |
| 1164771994 | Katie M Krise | Pharmacist | 705 Elm Street West, Hampton, SC 29924 | 2012-09-07 |
| 1801164587 | Susan R Britt | Specialist | 707 Elm St, Hampton, SC 29924 | 2011-12-08 |
| 1821384728 | John C Wagner | Pharmacist | 1703 Elm St W, Hampton, SC 29924 | 2011-06-20 |
| 1235424367 | Stanley Joseph Sledziona Jr. | Pharmacist | 1703 Elm St. W, Hampton, SC 29924 | 2011-06-16 |
| 1154430049 | Francis Asbury Mills | Dentist | 202 3rd St. East, Hampton, SC 29924 | 2006-08-30 |
| 1689783557 | Drs. Crews & Mills Dental Assoc Pa | Dentist | 202 3rd. St. East, Hampton, SC 29924 | 2006-08-30 |
| Find all providers in zip 29924 | ||||
| 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] |
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| 1932612736 | Cornerstone Rx | Pharmacy | 2100 Executive Dr Ste A, Hampton, VA 23666-2402 | 2017-11-15 |
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| 1700131927 | R & S Pharmacy | Pharmacy | 3321 W Mercury Blvd Ste D, Hampton, VA 23666-3806 | 2012-07-14 |
| 1366751752 | Victory Pharmacy Corporation | Pharmacy | 11328 Tara Blvd, Hampton, GA 30228-6229 | 2010-10-01 |
| 1982839916 | Virginia Cvs Pharmacy LLC | Pharmacy | 5001 Holt Ave, Hampton, VA 23666-2282 | 2009-05-20 |
| 1578616025 | Freds Stores of Tennessee Inc | Pharmacy | 80 Oak Street, Hampton, GA 30228 | 2007-01-19 |
| 1023173259 | R and D Apothecary, Inc | Pharmacy | 6 1st St Nw, Hampton, IA 50441-1902 | 2006-12-27 |
| 1528075553 | Walgreen Co | Pharmacy | 3326 W Mercury Blvd, Hampton, VA 23666-3807 | 2006-08-02 |
| 1902811953 | Walgreen Co | Pharmacy | 235 E Mercury Blvd, Hampton, VA 23669-2458 | 2006-07-29 |
| 1497772370 | Moyes Pharmacy Inc | Pharmacy | 34 E Main St S, Hampton, GA 30228-2930 | 2006-07-16 |
| Find all providers in HAMPTON | ||||
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| 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.