Er Black Pharmacy Inc
Pharmacy
9553 Main Street, Holland Patent
New York, 13354-0205
315-865-8141 315-865-4318
Er Black Pharmacy Inc is a Pharmacy in Holland Patent, New York. It is located at 9553 Main Street, Holland Patent and it's customer support contact number is 315-865-8141. The authorized person of Er Black Pharmacy Inc is Mr. Earl Robert Black Jr., R PH who is President Pharmacist of the pharmacy and his contact number is 315-865-8141. Active license number of Er Black Pharmacy Inc is 024930 for Pharmacy in New York. Er Black Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Er Black Pharmacy Inc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Er Black Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Er Black Pharmacy Inc |
| Type: | Pharmacy |
| Location: | 9553 Main Street, Holland Patent,
New York, 13354-0205 |
| Phone: | 315-865-8141 |
| Fax: | 315-865-4318 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Earl Robert Black Jr. |
| Credentials: | R PH |
| Position: | President Pharmacist |
| Contact Number: | 315-865-8141 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1467519009 |
| NPI Enumeration Date: | 02 Jan, 2007 |
| NPI Last Update On: | 26 Nov, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Er Black Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 024930 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3332727 | Other | New York | Nabp # |
| 02139724 | Medicaid | New York | |
Medicare Enrollment:
Er Black Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1951413863 | O20100930054054 | E R Black Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 1951413863 | O20150707000602 | E R Black Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9553 Main St,
Holland Patent, New York |
| Zip: | 13354 |
| Phone Number: | 315-865-8141 |
| Fax Number: | 315-865-4318 |
Patients can reach Er Black Pharmacy Inc at
9553 Main Street, Holland Patent, New York or can
call on customer care at 315-865-8141.
Comments/ Reviews:
Read all the reviews posted for Er Black Pharmacy Inc below. You may also share your own experience with Er Black Pharmacy Inc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.