BI-LO, LLC. (NPI# 1386737740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386737740 |
| Entity Type | Organization |
| Organization Name | BI-LO, LLC. |
| Other Organization Name | BI-LO PHARMACY #5282 |
| Practice Address |
4464 Devine St Columbia SC 29205-3605 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 8037381108 |
| Practice Fax Number | 8037906660 |
| Mailing Telephone | 9047835578 |
| Mailing Fax Number | 9043707382 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2013-06-28 |
| 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 | 14479 | SC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 781658 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4223210 | 01 | |
| SC | MEDICAID DME | DE2082 | 01 |
| SC | 714479 | 05 |
| Other Name | Type Code |
|---|---|
| BI-LO Pharmacy #5282 | 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 |
4464 DEVINE ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29205-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245545045 | Steve M. Johnson | Pharmacist | 4464 Devine St, Columbia, SC 29205-3605 | 2010-08-17 |
| 1982181475 | Kevin Tyler Cox | Pharmacist | 4464 Devine St, Columbia, SC 29205-3605 | 2018-07-26 |
| 1053761825 | Carrie Freeman Porter | Pharmacist | 4464 Devine St, Columbia, SC 29205-3605 | 2016-06-13 |
| 1922456904 | Bi-lo LLC | Pharmacist | 4464 Devine St, Columbia, SC 29205-3605 | 2016-05-31 |
| 1942671268 | Michael Anthony Eslick II | Pharmacist | 4464 Devine St, Columbia, SC 29205-3605 | 2015-10-13 |
| 1669739512 | Mary Elizabeth Rogan | Pharmacist | 4464 Devine St, Columbia, SC 29205-3605 | 2012-04-17 |
| 1598071029 | Jacqueline Merritt | Pharmacist | 4464 Devine St, Columbia, SC 29205-3605 | 2010-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462241 | New Life Home Care LLC | In Home Supportive Care | 4423 Ste. D, Devine Street, Columbia, SC 29205 | 2019-11-25 |
| 1689144222 | Jessica M Jarman LLC | Counselor | 610 Holly St., Columbia, SC 29205 | 2018-11-27 |
| 1073083648 | Christopher James Troyer | Psychologist | 2805 Millwood Ave., Columbia, SC 29205 | 2018-11-27 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| 1699126136 | Steven Matthew Ferrufino | Counselor | 417 S Edisto Ave, Columbia, SC 29205 | 2016-06-27 |
| 1619351863 | Deangela Lenore Delaney | Nurse Practitioner | 2739 Laurel Street, Columbia, SC 29205 | 2015-07-17 |
| 1548677131 | Maegan Elizabeth Dean | Pharmacist | 2708 Rosewood Drive, Columbia, SC 29205 | 2014-07-16 |
| 1144561465 | Abby Habicht | Speech-Language Pathologist | 705 Maple St., H 102, Columbia, SC 29205 | 2013-03-12 |
| 1750630562 | Pamela B. Robertson | Pharmacist | 3312 Devine Street, Columbia, SC 29205 | 2012-09-07 |
| 1609124023 | Kristen Anne Tice | Dietitian, Registered | 1029 Deerwood Street, Columbia, SC 29205 | 2012-08-15 |
| Find all providers in zip 29205 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on BI-LO, LLC..
| 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.