Blackville Health Investors

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

14328 Issued in SC

Legal business name

BLACKVILLE HEALTH INVESTORS

Doing business as

DANIELS PHARMACY of Blackville

Practice address

19354 Solomon Blatt Ave N
Blackville, SC 29817-2304

Phone

(803) 284-3372

Fax

(803) 284-3372

NPI assigned

Oct 10, 2006

Last updated

Jan 30, 2013By 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. Kyle F McHugh, BS PHARMACY

Title

Pres

Phone

(803) 284-3372

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DANIELS PHARMACY of Blackville Doing business as

Tax ID family

Blackville Health Investors2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Blackville Health Investors

  • Community/Retail Pharmacy
  • Blackville, SC
  • NPI 1427393024
  NPD tax ID

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1821186461",
    "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": "803-284-3372"
        },
        {
            "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": "803-284-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKVILLE HEALTH INVESTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "803-284-3372",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "14328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4211164",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821186461",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DANIELS PHARMACY of Blackville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aleisa Baksh, DNP, FNP-C
• Barnwell County Hospital (Blackville Medical Center)
• Barnwell County Hospital (Blackville Medical Center)
• Barnwell School District 19
• Blackville Health Investors
• Blackville Health Investors Inc
• Blackville Healthcare and Rehab, LLC
• Laney Bogard, M.A., CCC-SLP
• Richard Boyles, MD
• Carlyle Senior Care of Blackville LLC (Carlyle Senior Care of Blackville)

• Community/Retail Pharmacy in Blackville, SC
• Providers in Blackville, 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 Jan 30, 2013; 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.