Piggly Wiggly of Westmart Inc
NPI 1104924141 · Community/Retail Pharmacy · Sumter, SC
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Piggly Wiggly of Westmart Inc is a Community/Retail Pharmacy organization in Sumter, SC (NPI 1104924141).
Provider details
- NPI number
- 1104924141
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Olive Dubose, Pharmacy Manager(803) 773-6378
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
110 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 58 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 52 | $41 |
Typical Medicare-allowed amounts for these services range $30–$41 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sup Rx Pharmacy
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Frequently asked questions
- What is Piggly Wiggly of Westmart Inc's NPI number?
- Piggly Wiggly of Westmart Inc's National Provider Identifier (NPI) is 1104924141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Piggly Wiggly of Westmart Inc?
- Piggly Wiggly of Westmart Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Piggly Wiggly of Westmart Inc located?
- Piggly Wiggly of Westmart Inc's practice location on file with NPPES is 1011 Broad St, Sumter, SC 29150-2504.
- What is Piggly Wiggly of Westmart Inc's phone number?
- The practice phone number listed in the NPPES registry for Piggly Wiggly of Westmart Inc is (803) 773-6378.
- Does Piggly Wiggly of Westmart Inc accept Medicare?
- Piggly Wiggly of Westmart Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Piggly Wiggly of Westmart Inc?
- The authorized official listed on Piggly Wiggly of Westmart Inc's NPPES record is Olive Dubose, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Piggly Wiggly of Westmart Inc's NPI active?
- Yes — Piggly Wiggly of Westmart Inc's NPI (1104924141) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.