BI-LO, LLC (NPI# 1720171184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720171184 |
| Entity Type | Organization |
| Organization Name | BI-LO, LLC |
| Other Organization Name | BI-LO PHARMACY #5716 |
| Practice Address |
1401 E Main St Rock Hill SC 29730-5951 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 8039803600 |
| Practice Fax Number | 8039802939 |
| 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 | 14395 | SC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICAID DME | DE2758 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4226002 | 01 | |
| SC | 784652 | 05 | |
| SC | 714395 | 05 |
| Other Name | Type Code |
|---|---|
| BI-LO Pharmacy #5716 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275725665 | Bi-lo, LLC | Durable Medical Equipment & Medical Supplies | 4405 Hwy 24, Anderson, SC 29626-5216 | 2007-08-10 |
| 1336530021 | Bi-lo, LLC | Pharmacy | 1642 Dickerson Blvd, Monroe, NC 28110-2764 | 2015-02-17 |
| 1912108085 | Bi-lo, LLC | Durable Medical Equipment & Medical Supplies | 120 Hwy 14, Simpsonville, SC 29681 | 2007-05-29 |
| 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 |
1401 E MAIN ST |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29730-5951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821370313 | Eric Moore | Pharmacist | 1401 E Main St, Rock Hill, SC 29730-5951 | 2011-09-12 |
| 1093096760 | Dennis Edwards | Pharmacist | 1401 E Main St, Rock Hill, SC 29730-5951 | 2011-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
| 1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
| 1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
| 1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
| 1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
| 1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
| 1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
| 1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
| 1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
| 1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
| Find all providers in zip 29730 | ||||
| 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 |
|---|---|---|---|---|
| 1821307356 | Rhsc LLC | Pharmacy | 725 Cherry Rd Ste 103, Rock Hill, SC 29732-3143 | 2010-10-01 |
| 1346571460 | Palmetto Family Pharmacy | Pharmacy | 1030 Oakland Ave Ste 101, Rock Hill, SC 29732-3074 | 2010-01-29 |
| 1912198623 | Community Medicine Foundation | Pharmacy | 1131 Saluda Street, Rock Hill, SC 29730 | 2007-08-07 |
| 1467669077 | Medical Solutions, Inc. | Pharmacy | 1030 Oakland Ave, Rock Hill, SC 29732-3325 | 2007-05-16 |
| 1235289471 | Jadd Pharmacy Corp | Pharmacy | 253 Rock Hill Drive, Rock Hill, NY 12775 | 2007-01-11 |
| 1235240706 | Harris Teeter, LLC | Pharmacy | 2750 Celanese Rd, Rock Hill, SC 29732-8440 | 2006-08-31 |
| 1417387770 | Horaces Pharmacy LLC | Pharmacy | 1525 Celanese Rd Ste 107, Rock Hill, SC 29732-1723 | 2013-11-22 |
| 1528376720 | 808 Pharmacy and Supply Company | Pharmacy | 1030 Edwards St, Suite 110, Rock Hill, SC 29732-2549 | 2010-09-22 |
| 1376876029 | Rock Hill Pharmacy | Pharmacy | 1420 Ebenezer Rd, Suite 105, Rock Hill, SC 29732-2743 | 2009-09-14 |
| 1972722650 | Piedmont Retail Pharmacy | Pharmacy | 222 S Herlong Ave, Rock Hill, SC 29732-1158 | 2007-04-24 |
| Find all providers in ROCK HILL | ||||
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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.