BLACKS DRUG STORE, INC (NPI# 1194927459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194927459 |
| Entity Type | Organization |
| Organization Name | BLACKS DRUG STORE, INC |
| Practice Address |
121 Church St Chester SC 29706-2903 |
| Practice Telephone | 8035812102 |
| Practice Fax Number | 8035812121 |
| Mailing Telephone | 8035812102 |
| Mailing Fax Number | 8035812121 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT KEELS WYLIE (PRESIDENT) |
| Authorized Official Telephone | 8035812102 |
| Authorized Official Credential | PHARM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | EN2035 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760678361 | Blacks Drug Store, Inc | Durable Medical Equipment & Medical Supplies | 121 Church St, Chester, SC 29706-2903 | 2007-09-18 |
| Street Address |
121 CHURCH ST |
| City | CHESTER |
| State | SC |
| Zip Code | 29706-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118757 | Community Pharmacy of Chester LLC | Durable Medical Equipment & Medical Supplies | 121 Church St, Chester, SC 29706-2903 | 2005-07-15 |
| 1780974311 | Kelly M. Bagley | Pharmacist | 121 Church St, Chester, SC 29706-2903 | 2011-04-16 |
| 1760678361 | Blacks Drug Store, Inc | Durable Medical Equipment & Medical Supplies | 121 Church St, Chester, SC 29706-2903 | 2007-09-18 |
| 1114063773 | Robert Keels Wylie | Pharmacist | 121 Church St, Chester, SC 29706-2903 | 2007-01-30 |
| 1346396769 | Rembert A Ellisor Jr. | Pharmacist | 121 Church St, Chester, SC 29706-2903 | 2007-01-26 |
| 1770645632 | Leighann Mccaslan Lucas | Pharmacist | 121 Church St, Chester, SC 29706-2903 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719889 | Jump Start Bridging Gaps LLC | Counselor | 512 Columbia St, Chester, SC 29706 | 2020-04-20 |
| 1992215560 | Community Medicine Foundation Inc | Clinic/Center | 524 Doctors Court, Catawba Community Mental Health Center, Chester, SC 29706 | 2017-10-09 |
| 1598285314 | National Scholars Academy | Community/Behavioral Health | 2183 Dawson Drive, Chester, SC 29706 | 2017-06-22 |
| 1265899371 | Resourceful Health Care | Counselor | 1645 J A Cochrane By Pass, Chester, SC 29706 | 2016-01-20 |
| 1871829861 | Goldencare, Inc | Clinic/Center | 1197 Armory Road, Chester, SC 29706 | 2009-10-26 |
| 1922158583 | Bhm of Chester LLC | Assisted Living Facility | 570 Center Street, Chester, SC 29706 | 2007-01-12 |
| 1588777395 | Chester Hma Physician Management | Family Medicine | 517 Doctors Court, Chester, SC 29706 | 2006-08-16 |
| 1710942784 | Phillip Brian Jacobs | Optometrist | 136 Church Street, Chester, SC 29706 | 2006-04-20 |
| 1528063450 | Laudan A. Adkinson | Dentist | 726 Wilson St, Chester, SC 29706 | 2005-06-16 |
| 1679814388 | Kristin Marie Gibson | Counselor | 130 Hudson St, Chester, SC 29706 | 2013-03-05 |
| Find all providers in zip 29706 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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|---|---|---|---|---|
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| 1366842130 | First Choice Medical, Inc | Durable Medical Equipment & Medical Supplies | 164 Gadsden St, Chester, SC 29706-2066 | 2014-08-29 |
| 1639592520 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Medical Center Blvd Ste 107, Chester, PA 19013-3902 | 2014-01-28 |
| 1609201441 | Colonial Orthopaedics, Inc | Durable Medical Equipment & Medical Supplies | 13000 Rivers Bend Blvd, Ste E, Chester, VA 23836-8632 | 2013-09-12 |
| 1194966473 | Canterbury Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 204 Rivers Bend Blvd, Chester, VA 23836-2698 | 2009-03-16 |
| 1548430705 | Buddy Enterprizes, LLC | Durable Medical Equipment & Medical Supplies | 1601 Ware Bottom Spring Rd Ste 209, Chester, VA 23836-2599 | 2008-03-04 |
| 1790819589 | Three Springs Lodge Nursing Home Inc | Durable Medical Equipment & Medical Supplies | 161three Springs Road, Chester, IL 62233-1064 | 2007-03-15 |
| 1427181890 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 221 E. Hundred Road, Chester, VA 23836 | 2007-03-14 |
| 1356406912 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 203 Van Zant St, Chester, IL 62233-1020 | 2006-12-26 |
| 1447311592 | Pharmfill Inc | Durable Medical Equipment & Medical Supplies | 500 East Washington Ave., Chester, MT 59522 | 2006-12-13 |
| Find all providers in CHESTER | ||||
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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.