Black River Grocery LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

BLACK RIVER GROCERY LLC

Practice address

15 W Ashland St
Andrews, SC 29510-2543

Phone

(843) 264-3291

Fax

(843) 264-5425

NPI assigned

Apr 11, 2025

Organization subpart

No

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

Authorized official

Name

Wendy Lambert Allen

Title

Owner

Phone

(843) 264-3291

Specialties & licenses 1

Addresses

Other names 1

• Andrews RX Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Troy Blakely Lamb

  • Pharmacist
  • Holly Hill, SC
  • NPI 1710310735
  NPD

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1952196867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W ASHLAND ST",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295102543",
            "telephone_number": "843-264-3291",
            "fax_number": "843-264-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W ASHLAND ST",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295102543",
            "telephone_number": "843-264-3291",
            "fax_number": "843-264-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK RIVER GROCERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LAMBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-264-3291"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrews RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrews Dental Center Inc
• Andrews Vision Center
• Tabetha Bentley, FNP
• Bio-Medical Applications of South Carolina, Inc.
• Black River Grocery LLC
• Wanasha Brabham
• Jillian Leigh Byrd, DMD
• Jeanne Singleton Caison, NP
• Selena Augustine Chamberlain, APRN
• Charles B Jones

• All providers in Andrews, SC
• Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.