PIGGLY WIGGLY LAKE CITY, INC. (NPI# 1366509440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366509440 |
| Entity Type | Organization |
| Organization Name | PIGGLY WIGGLY LAKE CITY, INC. |
| Other Organization Name | PIGGLY WIGGLY PHARMACY #48 |
| Practice Address |
269 N Ron Mcnair Blvd Lake City SC 29560-2437 |
| Mailing Address |
Po Box 118047 Charleston SC 29423-8047 |
| Practice Telephone | 8433943121 |
| Practice Fax Number | 8433942551 |
| Mailing Telephone | 8435549980 |
| Mailing Fax Number | 8432028211 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2011-08-01 |
| Authorized Official Name | MR. DAVID R. SCHOOLS (CEO/PRESIDENT) |
| Authorized Official Telephone | 8435549880 |
| Is Organization Subpart | Y |
| Parent Organization Name | PIGGLY WIGGLY CAROLINA CO. INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 5001776 | SC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5001776 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 717766 | 05 |
| Other Name | Type Code |
|---|---|
| Piggly Wiggly Pharmacy #48 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588853519 | Piggly Wiggly Lake City, Inc. | Durable Medical Equipment & Medical Supplies | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2007-10-16 |
| Street Address |
269 N RON MCNAIR BLVD |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922356963 | Piggly Wiggly Lake City Inc | Pharmacy | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2012-08-23 |
| 1912156167 | Pee Dee Diabetic Consultants,llc | Pharmacist | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2008-09-11 |
| 1588853519 | Piggly Wiggly Lake City, Inc. | Durable Medical Equipment & Medical Supplies | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2007-10-16 |
| 1275729444 | Piggly Wiggly Lake City Inc | Durable Medical Equipment & Medical Supplies | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| 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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|---|---|---|---|---|
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1801261904 | Genoa Healthcare, LLC | Pharmacy | 439 Sw Michigan St Rm 12, Lake City, FL 32025-0440 | 2015-12-01 |
| 1225188485 | Foster's Super Markets, Inc | Pharmacy | 5760 West Houghton Lake Road, Lake City, MI 49651-0430 | 2007-01-11 |
| 1679648448 | M & D Drug Co | Pharmacy | 117 E. Main St., Lake City, SC 29560 | 2006-11-21 |
| 1760585533 | South Carolina Cvs Pharmacy LLC | Pharmacy | 301 W Thomas St, Lake City, SC 29560 | 2006-09-07 |
| 1588679799 | Walgreen Co | Pharmacy | 5675 Jonesboro Rd, Lake City, GA 30260-3804 | 2006-07-29 |
| 1679122337 | Trenton Medical Center, Inc. | Pharmacy | 4784 W Us Highway 90, Lake City, FL 32055-3101 | 2019-09-05 |
| 1922356963 | Piggly Wiggly Lake City Inc | Pharmacy | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2012-08-23 |
| 1316958986 | Corner Drug Co Inc | Pharmacy | 414 Main St, Lake City, TN 37769 | 2006-08-10 |
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|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1053918458 | Johns Island Pharmacy LLC | Pharmacy | 3133 Maybank Hwy, Johns Island, SC 29455-4838 | 2020-10-08 |
| 1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
| 1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
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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.