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BLACK RIVER GROCERY LLC
NPI 1689730913
Pharmacy - Community/Retail Pharmacy in Andrews, SC

Active since December 29, 2006
15 W ASHLAND ST, ANDREWS, SC 29510(843) 264-3291(843) 264-5425 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Black River Grocery Llc NPPES

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

BLACK RIVER GROCERY LLC (NPI 1689730913), doing business as Andrews Rx, is a healthcare organization registered as a community/retail pharmacy in Andrews, South Carolina and active in the NPI registry since December 2006. The organization lists Troy Blakely Lamb, Pic, as its authorized official.

NPPES Registry Identity

NPI1689730913
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBLACK RIVER GROCERY LLC
Location Address15 W ASHLAND STAndrews, SC 29510-2543
Mailing Address15 W Ashland StAndrews, SC 29510-2543 · (843) 264-3291 · Fax (843) 264-5425
Phone(843) 264-3291
Fax(843) 264-5425
Organization SubpartNo
Authorized OfficialTroy Blakely LambPic · (843) 264-3291
Enumeration DateDecember 29, 2006
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1689730913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in SC · 14725
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.
15 W ASHLAND ST, Andrews, SC 29510
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Other Names 2

Doing Business AsAndrews Rx
Doing Business AsSuprx Pharmacy #80

Other Identifiers 1

Other2141517Pk

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 ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients

Other Providers at the Same Location NPPES 2

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

DR. TRACEY HADDOCK
Pharmacist
15 W ASHLAND ST
ANDREWS, SC 29510
Georgetown County (843) 264-3291
BLACK RIVER GROCERY LLC
Pharmacy
15 W ASHLAND ST
ANDREWS, SC 29510
Georgetown County (843) 264-3291

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 River Grocery LLC's NPI number?

The NPI number for Black River Grocery LLC is 1689730913. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Andrews Rx and SupRx Pharmacy #80.

Where is Black River Grocery LLC located?

Black River Grocery LLC is located at 15 W Ashland St, Andrews, SC 29510. The listed phone number is (843) 264-3291.

What is Black River Grocery LLC's specialty?

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

What insurance does Black River Grocery 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 River Grocery 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 River Grocery LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.