Black River Pharmacy LLC
NPI 1467002816ActiveOrganization· Pharmacy· Kingstree, SC
Pharmacy in Kingstree, South Carolina, registered in NPPES in September 2019. The authorized official on file is Samuel Edward Drucker, RPH., Owner. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1467002816 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 18, 2019 |
| Last updated in NPPES | Sep 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (SC) |
|---|
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