BI-LO, LLC. (NPI# 1831282292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831282292 |
| Entity Type | Organization |
| Organization Name | BI-LO, LLC. |
| Other Organization Name | BI-LO PHARMACY #5552 |
| Practice Address |
2700 Gentry Memorial Hwy Pickens SC 29671-9412 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 8648785332 |
| Practice Fax Number | 8648784837 |
| Mailing Telephone | 9047835578 |
| Mailing Fax Number | 9043707382 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2013-07-16 |
| Authorized Official Name | M. SANDLIN GRIMM (SECRETARY) |
| Authorized Official Telephone | 9047835578 |
| Is Organization Subpart | Y |
| Parent Organization Name | BI-LO, LLC. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 14558 | SC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 781864 | 05 | |
| SC | MEDICAID DME | DE2018 | 01 |
| SC | 714558 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4223020 | 01 |
| Other Name | Type Code |
|---|---|
| BI-LO Pharmacy #5552 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477646677 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 2375 Cherry Rd, Rock Hill, SC 29732-2169 | 2006-10-02 |
| 1730272832 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 428 Highway 28, Dunlap, TN 37327-3115 | 2006-10-02 |
| 1396838595 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 1419 Chapin Road, Chapin, SC 29036 | 2006-10-02 |
| 1003909102 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 5425 Highway 153, Hixson, TN 37343-6700 | 2006-10-02 |
| 1346333549 | Bi-lo, LLC. | Pharmacy | 1909 Us Highway 17n, Mt Pleasant, SC 29464 | 2006-10-02 |
| 1679666879 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 1500 Western Square Dr, Laurens, SC 29360-3767 | 2006-10-02 |
| 1033202221 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 13709 E Ndependence Blvd, Indian Trail, NC 28079 | 2006-10-02 |
| 1437242633 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 1315 S Pleasantburg Drive, Greenville, SC 29605 | 2006-10-02 |
| 1780777136 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 2226 Park Rd, Charlotte, NC 28203-5941 | 2006-09-30 |
| 1730272196 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 115 Rochester Hwy, Seneca, SC 29672-2509 | 2006-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | BI-LO, LLC | 5050 Edgewood Court , Jacksonville, FL 32254-3601 |
| Virginia Business Entity | BI-LO, LLC | 1209 ORANGE ST , WILMINGTON, DE 19801 |
| Street Address |
2700 GENTRY MEMORIAL HWY |
| City | PICKENS |
| State | SC |
| Zip Code | 29671-9412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730465709 | Lori Devich Hunt | Pharmacist | 2700 Gentry Memorial Hwy, Pickens, SC 29671-9412 | 2011-10-22 |
| 1295128221 | Jennifer Payne | Pharmacist | 2700 Gentry Memorial Hwy, Pickens, SC 29671-9412 | 2015-03-16 |
| 1033542337 | Frank Buist Woodruff Jr. | Pharmacist | 2700 Gentry Memorial Hwy, Pickens, SC 29671-9412 | 2013-08-10 |
| 1902174824 | Michael Shane Collier | Pharmacist | 2700 Gentry Memorial Hwy, Pickens, SC 29671-9412 | 2011-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588159750 | Rhonda B Billingsley | Counselor | 44 Lagerholm Mtn Rd, Pickens, SC 29671 | 2018-06-28 |
| 1275051815 | Matthew Christopher Going | Counselor | 309 E Main Street, Pickens, SC 29671 | 2017-09-05 |
| 1528584596 | Rachel L Roach | Counselor | 309 E. Main Street, Pickens, SC 29671 | 2017-08-21 |
| 1679828172 | Dustin Bradley Harward | Specialist/Technologist | 203 Shady Grove Estates, Pickens, SC 29671 | 2012-07-20 |
| 1770616633 | Paul W Giddings | Dentist | 108 Massingill Rd, Pickens, SC 29671 | 2007-03-13 |
| 1558405563 | James Rudolph Mahanes | Surgery | 123 Wg Acker Drive, Suite D, Pickens, SC 29671 | 2007-02-16 |
| 1598839573 | Mary C Hammond | Family Medicine | 865 Pendleton St, Pickens, SC 29671 | 2006-11-20 |
| 1467400671 | Kathy Marie Waggett | Psychiatry & Neurology | 314 West Main St, Pickens, SC 29671 | 2006-05-04 |
| 1932753480 | Jaimee Chapman | Social Worker | 309 E. Main Street, Pickens, SC 29671 | 2019-08-01 |
| 1538418637 | Lauri Stump Keeney | Pharmacist | 204 Hampton Ave, Pickens, SC 29671 | 2012-09-05 |
| Find all providers in zip 29671 | ||||
| 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 |
|---|---|---|---|---|
| 1639332976 | Walgreen Co | Pharmacy | 101 Hampton Ave, Pickens, SC 29671-2462 | 2008-07-08 |
| 1831104785 | Ingles Markets Inc | Pharmacy | 502 Ann St Ste A, Pickens, SC 29671-2267 | 2006-07-29 |
| 1164628996 | Moral of Pickens Inc. | Pharmacy | 205 W Cedar Rock St, Pickens, SC 29671-2451 | 2007-06-27 |
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| 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.