Organization Active NPI

Dap Inc

Doing business as Burke's Main Street Pharmacy

  • Pharmacy
  • Hilton Head Island, SC
National Provider Identifier
1003819673
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50002240 Issued in SC
Legal business name
DAP INC
Doing business as
Burke's Main Street Pharmacy
Burke's New Riverside Pharmacy
Burkes Pharmacy
Practice address
1101 Main St
Hilton Head Island, SC 29926-1624
Phone
(843) 681-2622
Fax
(843) 970-1779
NPI assigned
May 27, 2005
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Douglass, PHARMD
Title
President
Phone
(843) 681-2622

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50002240 SC Primary
Community/Retail Pharmacy 3336C0003X 50002240 SC
Long Term Care Pharmacy 3336L0003X 50002240 SC

Addresses

Primary practice location

1101 Main St
Hilton Head Island, SC 29926-1624

Mailing address

1101 Main St
Hilton Head Island, SC 29926-1624
Phone (843) 681-2622

Other practice location 1

267 Parkside Cmns Unit 101
Bluffton, SC 29910-3476
Phone (843) 681-2622

Other identifiers 1

IdentifierTypeStateIssuer
561378MedicaidSC

Other names 3

  • BURKE'S MAIN STREET PHARMACY Doing business as
  • BURKE'S NEW RIVERSIDE PHARMACY Doing business as
  • BURKES PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20090813000019 SC Part B Supplier - Mass Immunization (Roster Biller Only) 9638223423 2 other NPIs on this enrollment
Practice locations: Bluffton, SC; Hilton Head Island, SC; Hilton Head, SC
O20100930026068 SC DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 9638223423 Practice locations: Hilton Head, SC
O20240702002611 SC Part B Supplier - Pharmacy 9638223423 Practice locations: Hilton Head, SC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2085067Burkes Main St Pharmacy1101 Main Street, Hilton Head Island, SC 29926Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dap Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1003819673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MAIN ST",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261624",
            "telephone_number": "843-681-2622",
            "fax_number": "843-970-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MAIN ST",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261624",
            "telephone_number": "843-681-2622",
            "fax_number": "843-970-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Parkside Cmns Unit 101",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299103476",
            "country_code": "US",
            "telephone_number": "843-681-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-681-2622",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50002240",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50002240",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SC",
            "license": "50002240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "561378",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BURKE'S MAIN STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BURKE'S NEW RIVERSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BURKES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.