BI-LO, LLC. (NPI# 1093808453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093808453 |
Entity Type | Organization |
Organization Name | BI-LO, LLC. |
Other Organization Name | BI-LO PHARMACY #5638 |
Practice Address |
120 Forum Dr Columbia SC 29229-7951 |
Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
Practice Telephone | 8036998332 |
Practice Fax Number | 8038650327 |
Mailing Telephone | 9047835578 |
Mailing Fax Number | 9043707382 |
Enumeration Date | 2006-09-30 |
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 | 14467 | SC | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 780574 | 05 | |
SC | MEDICAID DME | DE2899 | 01 |
SC | PERMIT NUMBER | 8057 | 01 |
OTHER ID NUMBER-COMMERCIAL NUMBER | 4225606 | 01 | |
SC | 714469 | 05 |
Other Name | Type Code |
---|---|
BI-LO PHARMACY #5638 | 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 |
120 FORUM DR |
City | COLUMBIA |
State | SC |
Zip Code | 29229-7951 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114294634 | Stephen Dale Dixon | Pharmacist | 120 Forum Dr, Columbia, SC 29229-7951 | 2011-11-29 |
1639648900 | Kiera Mariah Brown | Pharmacist | 120 Forum Dr, Columbia, SC 29229-7951 | 2018-11-16 |
1881094670 | Meghan Ribbich | Pharmacist | 120 Forum Dr, Columbia, SC 29229-7951 | 2014-08-28 |
1851669931 | Erica Chutz Mitchell | Pharmacist | 120 Forum Dr, Columbia, SC 29229-7951 | 2011-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
1083254338 | Lintiya Mccleary | Behavior Technician | 1048 Wildewood Center Dr, Columbia, SC 29229 | 2020-01-14 |
1538702873 | Genuine Care LLC | Home Health Aide | 112 Denby Cir, Columbia, SC 29229 | 2019-10-18 |
1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
1508385469 | Palmetto Community Group | Counselor | 402 Nautique Circle, Columbia, SC 29229 | 2017-09-12 |
1245754472 | Fernandez Interpreter & Translator Solutions | Interpreter | 140 Rivendale Drive, Columbia, SC 29229 | 2017-07-30 |
1770935744 | Yasmine Gamil Gabr | Family Medicine | 103 Summit Centre Drive, Columbia, SC 29229 | 2016-07-01 |
1386095164 | Mack's Loving Care | Home Health | 55 Crooked Creek Place, Columbia, SC 29229 | 2016-06-23 |
Find all providers in zip 29229 |
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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1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
1205492345 | Denise Jorene Wilkinson | Pharmacy | 108 Park Terrace Dr, Columbia, SC 29212-3713 | 2019-05-14 |
1093379521 | Qwik-med Pharmacy LLC | Pharmacy | 369 Locust St Rear, Columbia, PA 17512-1383 | 2019-04-30 |
1932682960 | Columbia Rx LLC | Pharmacy | 10798 Hickory Ridge Rd Ste A, Columbia, MD 21044-3646 | 2018-09-14 |
1558756072 | Gustafsons Apothecary LLC | Pharmacy | 110a Clemson Rd, Columbia, SC 29229-6544 | 2015-04-01 |
1740526276 | Missouri Cvs Pharmacy LLC | Pharmacy | 2400 Bernadette Dr, Columbia, MO 65203-4616 | 2013-01-03 |
1255680138 | Cvs Pharmacy | Pharmacy | 900 Assembly Street, Columbia, SC 29201-3938 | 2012-09-06 |
Find all providers in COLUMBIA |
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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.