DANIELS PHARMACY OF BLACKVILLE
NPI 1639256605
Durable Medical Equipment & Medical Supplies in Blackville, SC

NPI Status: Active since November 01, 2006

Contact Information

19354 SOLOMON BLATT AVE N
BLACKVILLE, SC
ZIP 29817
Phone: (803) 284-3372
Fax: (803) 284-2851

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 42D2182793
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 04-26-2026

About DANIELS PHARMACY OF BLACKVILLE

This page provides the complete NPI Profile along with additional information for Daniels Pharmacy Of Blackville, a provider established in Blackville, South Carolina operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1639256605 assigned on November 2006. The practitioner's primary taxonomy code is 332B00000X with license number 615301 (SC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Daniels Pharmacy Of Blackville. The authorized official of this NPI record is Mr. Joseph A Williamson Jr. Reg Pharmacist (President)

NPI
1639256605
Provider Legal Name
DANIELS PHARMACY # 3 INC
Other Organization Name
DANIELS PHARMACY OF BLACKVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
19354 SOLOMON BLATT AVE N BLACKVILLE, SC 29817
Location Phone
(803) 284-3372
Location Fax
(803) 284-2851
Mailing Address
19354 SOLOMON BLATT AVE N BLACKVILLE, SC 29817
Mailing Phone
(803) 284-3372
Mailing Fax
(803) 284-2851
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
615301
License State
SC
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOSEPH A WILLIAMSON JR. REG PHARMACIST

Authorized Official Title
PRESIDENT
Authorized Official Phone
(803) 284-3372

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
615301MEDICAID (05)SC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2182793
Facility Type
Pharmacy
Certificate Effective Date
April 27, 2024
Certificate Expiration Date
April 26, 2026
Laboratory Director
KYLE MCHUGH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Daniels Pharmacy Of Blackville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DANIELS PHARMACY OF BLACKVILLE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639256605
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669451260
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 5 + 1 + 2 + 6 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1639256605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659625846MRS. REBECCA BARR COPELAND PHARMD
Individual
Pharmacist19354 SOLOMON BLATT AVE N
BLACKVILLE, SC 29817
(803) 284-3372
1427393024BLACKVILLE HEALTH INVESTORS
Organization
Pharmacy (Community/Retail Pharmacy)19354 SOLOMON BLATT AVE N
BLACKVILLE, SC 29817
(803) 284-3372
1821186461BLACKVILLE HEALTH INVESTORS
Organization
Pharmacy (Community/Retail Pharmacy)19354 SOLOMON BLATT AVE N
BLACKVILLE, SC 29817
(803) 284-3372
1932444676BLACKVILLE HEALTH INVESTORS INC
Organization
Durable Medical Equipment & Medical Supplies19354 SOLOMON BLATT AVE N
BLACKVILLE, SC 29817
(803) 284-3372

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639256605, enumerated in the NPI registry as an "organization" on November 01, 2006

The provider is located at 19354 Solomon Blatt Ave N Blackville, Sc 29817 and the phone number is (803) 284-3372

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 42D2182793 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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