Blackshear Drug Co
NPI 1558301069 · Community/Retail Pharmacy · Blackshear, GA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blackshear Drug Co is a Community/Retail Pharmacy organization in Blackshear, GA (NPI 1558301069).
Provider details
- NPI number
- 1558301069
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- James Martin, Owner / Pic(912) 449-6616
- License
- PHRE009509 (GA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-06-07
- Last updated
- 2023-03-07
- Certified
- 2022-01-19
Frequently asked questions
- What is Blackshear Drug Co's NPI number?
- Blackshear Drug Co's National Provider Identifier (NPI) is 1558301069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackshear Drug Co?
- Blackshear Drug Co is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Blackshear Drug Co located?
- Blackshear Drug Co's practice location on file with NPPES is 3487 US Highway 84, Blackshear, GA 31516-2293.
- What is Blackshear Drug Co's phone number?
- The practice phone number listed in the NPPES registry for Blackshear Drug Co is (912) 449-6616.
- Does Blackshear Drug Co accept Medicare?
- Blackshear Drug Co 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 Blackshear Drug Co?
- The authorized official listed on Blackshear Drug Co's NPPES record is James Martin, Owner / Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackshear Drug Co's NPI active?
- Yes — Blackshear Drug Co's NPI (1558301069) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.