PIGGLY WIGGLY MIDEAST INC (NPI# 1417251208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417251208 |
| Entity Type | Organization |
| Organization Name | PIGGLY WIGGLY MIDEAST INC |
| Other Organization Name | SUP-RX PHARMACY |
| Practice Address |
9092 Old Number Six Hwy Santee SC 29142-8621 |
| Practice Telephone | 8435549880 |
| Mailing Telephone | 8435549880 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | SCOTT WINK (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8435549880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 11472 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4230152 | 01 |
| Other Name | Type Code |
|---|---|
| Sup-Rx Pharmacy | Doing Business As Name - Organization |
| Street Address |
9092 OLD NUMBER SIX HWY |
| City | SANTEE |
| State | SC |
| Zip Code | 29142-8621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629312111 | Cvs Pharmacy | Pharmacist | 240 Planters Trace Rd, Santee, SC 29142 | 2012-11-21 |
| 1184861411 | Palmetto Eye Associates | Optometrist | 150 Plaza Circle, Santee, SC 29142 | 2009-01-08 |
| 1285890186 | Santee Family Medical Ctr | Clinic/Center | 309 Santee River Plz, Santee, SC 29142 | 2008-07-31 |
| 1205004520 | Santee Dental Care | Dentist | 190 B Plaza Circle, Santee, SC 29142 | 2008-02-20 |
| 1407032295 | Carolina Cataract Clinic | Ophthalmology | 8799 Old Highway # 6, Santee, SC 29142 | 2008-01-11 |
| 1891854949 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8910 Old Highway 6, Santee, SC 29142 | 2006-12-06 |
| 1114935475 | Medical Center of Santee LLC | Clinic/Center | 500 Bass Drive, Santee, SC 29142 | 2006-08-03 |
| 1821600917 | Melissa Kathryn Cherry | Pharmacist | 8910 Old Highway 6, Santee, SC 29142 | 2020-08-19 |
| 1407040728 | Delores Gregory Hollen | Counselor | 8799 Old Highway #6, Santee, SC 29142 | 2007-08-29 |
| 1467869776 | Vanester Ravenell | Social Worker | 1580 Bass Dr, Santee, SC 29142-0000 | 2014-07-18 |
| Find all providers in zip 29142 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
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|---|---|---|---|---|
| 1487277307 | Sjc Management and Consulting Corp | Pharmacy | 300 Lantern Crest Way Ste A, Santee, CA 92071 | 2020-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144840026 | Salubrius Pharmacy, LLC | Pharmacy | 120 Clair Dr, Powdersville, SC 29673-7771 | 2020-04-21 |
| 1073146502 | Greenville Health Corporation | Pharmacy | 115 N Sumter St Ste 220, Sumter, SC 29150-4972 | 2020-02-12 |
| 1043858996 | M Holdings LLC | Pharmacy | 808 Highway 378 Ste A, Lexington, SC 29072-8379 | 2019-12-11 |
| 1033760483 | Eau Claire Cooperative Health Center, Inc. | Pharmacy | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2019-09-26 |
| 1467002816 | Black River Pharmacy LLC | Pharmacy | 32a N Williamsburg County Hwy, Kingstree, SC 29556-2433 | 2019-09-18 |
| 1548821457 | Dipti H Patel | Pharmacy | 636 Chartwell Dr, Greer, SC 29650-4787 | 2019-06-23 |
| 1972163350 | Genesis Health Care, Inc | Pharmacy | 211 S Jones Rd Ste A, Olanta, SC 29114-9705 | 2019-06-18 |
| 1013571314 | Publix Super Markets, Inc. | Pharmacy | 730 Hopewell Drive, Charleston-berkeley, SC 29492-7102 | 2019-04-23 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1740788066 | Zivitski Health Group LLC | Pharmacy | 345 W Main Street, Gray Court, SC 29645 | 2018-02-01 |
| 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.