Community Pharmacy of Chester LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COMMUNITY PHARMACY OF CHESTER LLC

Doing business as

Blacks Drug Store Inc
Blacks Drug Store

Practice address

121 Church St
Chester, SC 29706-2903

Phone

(803) 581-2102

Fax

(803) 581-2121

NPI assigned

Jul 15, 2005

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Mark Richards

Title

Vice President

Phone

(704) 904-3287

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 2

• BLACKS DRUG STORE INC Doing business as
• Blacks Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leighann McCaslan Lucas, PHARMD

  • Pharmacist
  • Chester, SC
  • NPI 1770645632
  NPD

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1033118757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297060578",
            "telephone_number": "803-581-2102",
            "fax_number": "803-581-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CHURCH ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297062903",
            "telephone_number": "803-581-2102",
            "fax_number": "803-581-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHARMACY OF CHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-904-3287"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "6574",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "718772",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090205",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLACKS DRUG STORE INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blacks Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Medicine Foundation (NCFMC-Chester Mental Health)
• Community Medicine Foundation (North Central Family Medical Center)
• Community Medicine Foundation (North Central Family Medicine)
• Community Medicine Foundation (Community Medicine Pharmacy)
• Community Medicine Foundation Inc (North Central Family Medical Center)
• Convacare, Inc.
• Erin Corl, MA, CCC-SLP
• Cremeans Family Dentistry
• Cremeans Family Dentistry
• Ricky Cremeans Jr., DDS

• Community/Retail Pharmacy in Chester, SC
• Providers in Chester, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.