DANIELS PHARMACY OF BLACKVILLE
NPI 1639256605
Durable Medical Equipment & Medical Supplies in Blackville, SC

Active since November 01, 2006CLIA 42D2182793 · Waiver
19354 SOLOMON BLATT AVE N, BLACKVILLE, SC 29817(803) 284-3372(803) 284-2851 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniels Pharmacy Of Blackville NPPES

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

DANIELS PHARMACY OF BLACKVILLE (NPI 1639256605) is a healthcare organization registered as a durable medical equipment & medical supplies in Blackville, South Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Joseph A Williamson, President, as its authorized official.

NPPES Registry Identity

NPI1639256605
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameDANIELS PHARMACY # 3 INC
Location Address19354 SOLOMON BLATT AVE NBlackville, SC 29817-2304
Mailing Address19354 Solomon Blatt Ave NBlackville, SC 29817-2304 · (803) 284-3372 · Fax (803) 284-2851
Fax(803) 284-2851
Organization SubpartNo
Authorized OfficialJoseph A WilliamsonPresident · (803) 284-3372
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1639256605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in SC · 615301
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
19354 SOLOMON BLATT AVE N, Blackville, SC 29817

Other Names 1

Doing Business AsDaniels Pharmacy Of Blackville

Other Identifiers 1

Medicaid615301SC

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 42D2182793

Daniels Pharmacy Of Blackville · Blackville, SC
Active · expires Apr 26, 2028
CLIA Number42D2182793
Laboratory TypePharmacy
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorKyle Mchugh
Laboratory Phone(803) 284-3372
Laboratory LocationDaniels Pharmacy Of Blackville19354 Solomon Blatt Ave, Blackville, SC 29817
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
19354 SOLOMON BLATT AVE N
BLACKVILLE, SC 29817
Pharmacist
19354 SOLOMON BLATT AVE N
BLACKVILLE, SC 29817
Pharmacy (Community/Retail Pharmacy)
19354 SOLOMON BLATT AVE N
BLACKVILLE, SC 29817
Pharmacist
19354 SOLOMON BLATT AVE N
BLACKVILLE, SC 29817
Durable Medical Equipment & Medical Supplies
19354 SOLOMON BLATT AVE N
BLACKVILLE, SC 29817

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 Daniels Pharmacy # 3 Inc's NPI number?

The NPI number for Daniels Pharmacy # 3 Inc is 1639256605. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Daniels Pharmacy Of Blackville.

Where is Daniels Pharmacy # 3 Inc located?

Daniels Pharmacy # 3 Inc is located at 19354 Solomon Blatt Ave N, Blackville, SC 29817. The listed phone number is (803) 284-3372.

What is Daniels Pharmacy # 3 Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Daniels Pharmacy # 3 Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2182793) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Daniels Pharmacy # 3 Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.