PIGGLY WIGGLY PHARMACY #16 (PIGGLY WIGGLY ANDREWS, INC.) NPI 1003004995

Durable Medical Equipment & Medical Supplies in Andrews, SC

Organization Durable Medical Equipment & Medical Supp...

About PIGGLY WIGGLY PHARMACY #16 (PIGGLY WIGGLY ANDREWS, INC.)

Piggly Wiggly Pharmacy #16 (piggly Wiggly Andrews, Inc.) is a provider established in Andrews, South Carolina specializing in durable medical equipment & medical supplies. The NPI number of Piggly Wiggly Pharmacy #16 (piggly Wiggly Andrews, Inc.) is 1003004995 and was assigned on October 2007. The practitioner's primary taxonomy code is 332B00000X with license number 5001882 (SC). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Piggly Wiggly Pharmacy #16. The authorized official of this NPI record is Mr. David R. School (Ceo/president)

NPI

1003004995

Provider NamePIGGLY WIGGLY PHARMACY #16 (PIGGLY WIGGLY ANDREWS, INC.)
Provider Location Address15 WEST ASHLAND AVE. ANDREWS, SC 29510
Provider Mailing AddressPO BOX 118047 CHARLESTON, SC 29423
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NamePIGGLY WIGGLY PHARMACY #16
Other Name TypeDoing Business As (3)
Enumeration Date10-05-2007
Last Update Date08-01-2011

Primary Taxonomy

Taxonomy Code332B00000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
License No.5001882
License StateSC
Taxonomy DescriptionA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Business Address

PIGGLY WIGGLY PHARMACY #16
15 WEST ASHLAND AVE.
ANDREWS, SC
ZIP 29510
Phone: (843) 264-3291
Fax: (843) 264-5425

Get Directions

Mailing Address

PIGGLY WIGGLY PHARMACY #16
PO BOX 118047
CHARLESTON, SC
ZIP 29423
Phone: (843) 554-9880
Fax: (843) 202-8211

Authorized Official

Authorized Official NameMR. DAVID R. SCHOOL
Authorized Official TitleCEO/PRESIDENT
Authorized Official Phone(843) 554-9880

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
718828MEDICAID (05)SC
4379350001MEDICARE NSC (07)SC

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.