PIGGLY WIGGLY OF WESTMART INC
NPI 1104924141
Pharmacy - Community/Retail Pharmacy in Sumter, SC

Active since September 21, 2006
1011 BROAD ST, SUMTER, SC 29150(803) 773-6378(803) 775-6771 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Piggly Wiggly Of Westmart Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PIGGLY WIGGLY OF WESTMART INC (NPI 1104924141), doing business as Sup Rx Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Sumter, South Carolina and active in the NPI registry since September 2006. The organization lists Olive Dubose, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1104924141
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePIGGLY WIGGLY OF WESTMART INC
Location Address1011 BROAD STSumter, SC 29150-2504
Mailing Address1011 Broad StSumter, SC 29150-2504 · (803) 773-6378 · Fax (803) 775-6771
Fax(803) 775-6771
Organization SubpartNo
Authorized OfficialOlive DubosePharmacy Manager · (803) 773-6378
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
NPI 1104924141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in SC · 50002786
Definition

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.

Also ListedPharmacyTaxonomy 333600000X
1011 BROAD ST, Sumter, SC 29150

Other Names 1

Doing Business AsSup Rx Pharmacy

Other Identifiers 3

Medicaid727867SC
Other2090384Pk
MedicaidDE2042SC

Accepted Insurance

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
58 services56 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
57 services55 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20672237
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1011 BROAD ST
SUMTER, SC 29150
Pharmacist
1011 BROAD ST
SUMTER, SC 29150
Pharmacist
1011 BROAD ST
SUMTER, SC 29150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104924141, enumerated as an "organization" on September 21, 2006.

The provider is located at 1011 BROAD ST SUMTER, SC 29150 and the phone number is (803) 773-6378.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.