BLACK DIAMOND PHARMACY, LLC
NPI 1558444026
Pharmacy - Community/Retail Pharmacy in Northfork, WV

Q: What is Black Diamond Pharmacy, LLC's NPI number?

The NPI number for Black Diamond Pharmacy, LLC is 1558444026. It was assigned to this organization in the NPPES registry on October 20, 2006.

Q: What is Black Diamond Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since October 20, 2006CLIA 51D1042228 · Waiver

33800 COAL HERITAGE ROAD, NORTHFORK, WV 24868(304) 862-2105(304) 862-2107 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Black Diamond Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK DIAMOND PHARMACY, LLC (NPI 1558444026) is a healthcare organization registered as a community/retail pharmacy in Northfork, West Virginia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists David Henry Dunson, Owner,manager, as its authorized official.

NPPES Registry Identity

NPI1558444026

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameBLACK DIAMOND PHARMACY, LLC

Location Address33800 COAL HERITAGE ROADNorthfork, WV 24868-0397

Mailing AddressPo Box 397Northfork, WV 24868-0397 · (304) 862-2105 · Fax (304) 862-2107

Phone(304) 862-2105

Fax(304) 862-2107

Organization SubpartNo

Authorized OfficialDavid Henry DunsonOwner,manager · (304) 862-2105

Enumeration DateOctober 20, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1558444026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WV · SP552244

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

33800 COAL HERITAGE ROAD, Northfork, WV 24868

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Other Identifiers 2

Other5011438WV · Nabp

Medicaid0008503000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D1042228

Black Diamond Pharmacy LLC · Northfork, WV

Active · expires Jun 21, 2027

CLIA Number51D1042228

Laboratory TypePharmacy

Certificate Effective DateJune 22, 2025

Certificate Expiration DateJune 21, 2027

Laboratory DirectorDavid H. Dunson Rph Mba

Laboratory Phone(304) 862-2105

Laboratory LocationBlack Diamond Pharmacy LLCMain Street, Northfork, WV 24868

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Black Diamond Pharmacy, LLC carries, from the Medicare DMEPOS supplier directory.

Black Diamond Pharmacy, LLC

DMEPOS supplier · Northfork, WV

✔

Accepts Medicare assignment

Black Diamond Pharmacy, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20595095

Medicare Participant SinceOctober 31, 2003

Supplier Location33800 Coal Heritage RdNorthfork, WV 24868

Phone(304) 862-2105

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Diamond Pharmacy, LLC's NPI number?

The NPI number for Black Diamond Pharmacy, LLC is 1558444026. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Black Diamond Pharmacy, LLC located?

Black Diamond Pharmacy, LLC is located at 33800 Coal Heritage Road, Northfork, WV 24868. The listed phone number is (304) 862-2105.

What is Black Diamond Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Black Diamond Pharmacy, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Black Diamond Pharmacy, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Black Diamond Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1042228) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Black Diamond Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Black Diamond Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Black Diamond Pharmacy, LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.