Daniels Pharmacy # 3 Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

615301 Issued in SC

Legal business name

DANIELS PHARMACY # 3 INC

Doing business as

Daniels Pharmacy of Blackville

Practice address

19354 Solomon Blatt Ave N
Blackville, SC 29817-2304

Phone

(803) 284-3372

Fax

(803) 284-2851

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By 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

Mr. Joseph A Williamson Jr., REG PHARMACIST

Title

President

Phone

(803) 284-3372

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Daniels Pharmacy of Blackville Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639256605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19354 SOLOMON BLATT AVE N",
            "city": "BLACKVILLE",
            "state": "SC",
            "postal_code": "298172304",
            "telephone_number": "803-284-3372",
            "fax_number": "803-284-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19354 SOLOMON BLATT AVE N",
            "city": "BLACKVILLE",
            "state": "SC",
            "postal_code": "298172304",
            "telephone_number": "803-284-3372",
            "fax_number": "803-284-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELS PHARMACY # 3 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-284-3372",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "REG PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "615301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615301",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniels Pharmacy of Blackville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Blackville, SC
• Providers in Blackville, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.