Black River Pharmacy LLC
NPI 1467002816 · Pharmacy · Kingstree, SC
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black River Pharmacy LLC is a Pharmacy organization in Kingstree, SC (NPI 1467002816).
Provider details
- NPI number
- 1467002816
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Samuel Drucker, Owner(843) 356-0172
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-18
- Last updated
- 2019-09-18
Frequently asked questions
- What is Black River Pharmacy LLC's NPI number?
- Black River Pharmacy LLC's National Provider Identifier (NPI) is 1467002816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black River Pharmacy LLC?
- Black River Pharmacy LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Black River Pharmacy LLC located?
- Black River Pharmacy LLC's practice location on file with NPPES is 32a N Williamsburg County Hwy, Kingstree, SC 29556-2433.
- What is Black River Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Black River Pharmacy LLC is (843) 355-5656.
- Does Black River Pharmacy LLC accept Medicare?
- Black River Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black River Pharmacy LLC?
- The authorized official listed on Black River Pharmacy LLC's NPPES record is Samuel Drucker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black River Pharmacy LLC's NPI active?
- Yes — Black River Pharmacy LLC's NPI (1467002816) is active in the NPPES registry as of the last update on 2019-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.