ROY BLACK (NPI# 1326582255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326582255 |
| Entity Type | Individual |
| Full Name | ROY BLACK |
| Practice Address |
735 Main St N New Ellenton SC 29809-2518 |
| Mailing Address |
148 Walden Brook Way Aiken SC 29803 |
| Practice Telephone | 8034430077 |
| Practice Fax Number | 8034430078 |
| Mailing Telephone | 8033313250 |
| Mailing Fax Number | 8034430078 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4090 | SC | Pharmacy Service Providers |
| Street Address |
735 MAIN ST N |
| City | NEW ELLENTON |
| State | SC |
| Zip Code | 29809-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750771721 | Shuna Home Care Services, LLC | In Home Supportive Care | 108 George Avenue, Newellenton, SC 29809 | 2015-01-29 |
| 1205226495 | Hibbitts Enterprises, LLC | Pharmacy | 735 N. Main St., New Ellenton, SC 29809 | 2015-01-27 |
| 1285927798 | Christina Magdalena Crawley | Pharmacist | 605 Main St N, New Ellenton, SC 29809 | 2011-05-17 |
| 1760581961 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 605 Main Street North, New Ellenton, SC 29809-2520 | 2006-09-22 |
| 1679099584 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 605 Main St N, New Ellenton, SC 29809-2520 | 2017-08-22 |
| 1154620730 | William Lamar Beasley | Pharmacist | 605 Main St N, New Ellenton, SC 29809-2520 | 2011-03-22 |
| 1891094454 | Amy Hibbitts | Pharmacist | 605 Main St N, New Ellenton, SC 29809-2520 | 2011-03-22 |
| 1346432192 | Town and Country Pharmacy | Durable Medical Equipment & Medical Supplies | 606 Main St N, New Ellenton, SC 29809-2534 | 2007-08-15 |
| 1487022281 | Brandie Nicole Quick | Behavioral Analyst | 206 Fern St, New Ellenton, SC 29809-2725 | 2015-09-10 |
| 1851590129 | Adult and Senior Day Care Services, LLC | Home Health | 203 Jewel St N, New Ellenton, SC 29809-2942 | 2007-07-16 |
| Find all providers in zip 29809 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285927798 | Christina Magdalena Crawley | Pharmacist | 605 Main St N, New Ellenton, SC 29809 | 2011-05-17 |
| 1154620730 | William Lamar Beasley | Pharmacist | 605 Main St N, New Ellenton, SC 29809-2520 | 2011-03-22 |
| 1891094454 | Amy Hibbitts | Pharmacist | 605 Main St N, New Ellenton, SC 29809-2520 | 2011-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083828 | David Ephriam Wilson V | Pharmacist | 4099 Red Bluff Rd, Loris, SC 29569-6238 | 2020-11-05 |
| 1609475458 | Douglas Hansford Netterville | Pharmacist | 248 Ivy Woods Ct, Fountain Inn, SC 29644-9256 | 2020-10-22 |
| 1497354385 | Caroline Gardner | Pharmacist | 1062 10th Ave, Aynor, SC 29511 | 2020-10-21 |
| 1972100246 | Meet Patel | Pharmacist | 210 Mcphail Farms Cir, Anderson, SC 29621-2579 | 2020-10-08 |
| 1780281170 | Hannah L Russell | Pharmacist | 2954 Eppington South Dr, Fort Mill, SC 29708-6949 | 2020-10-08 |
| 1235736133 | Renisha Rabara | Pharmacist | 2742 Disney Pl, Indian Land, SC 29707-5957 | 2020-10-04 |
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1003423377 | Terri Donofrio | Pharmacist | 5678 Captain Kidd Rd, Hollywood, SC 29449-6801 | 2020-09-30 |
| 1194331280 | Bryan Sabo | Pharmacist | 4361 Sc-24, Anderson, SC 29626 | 2020-09-23 |
| 1770198798 | Donnie Eric Ridings | Pharmacist | 471 Waterford Point Dr, Boiling Springs, SC 29316-7721 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | NEW ELLENTON |
| Zip Code | 29809 |
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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.