SPECIALTY PHARMACY MYRTLE BEACH LLC (NPI# 1033423348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033423348 |
Entity Type | Organization |
Organization Name | SPECIALTY PHARMACY MYRTLE BEACH LLC |
Other Organization Name | SPECIALTY PHARMACY MYRTLE BEACH |
Practice Address |
5900 N Kings Hwy Ste C Myrtle Beach SC 29577-2326 |
Practice Telephone | 8437121703 |
Practice Fax Number | 8437121705 |
Mailing Telephone | 8437121703 |
Mailing Fax Number | 8437121705 |
Enumeration Date | 2010-07-28 |
Last Update Date | 2010-10-01 |
Authorized Official Name | BILLY WEASE (OWNER) |
Authorized Official Telephone | 7049137450 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
11125 | SC | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 4229781 | 01 |
Other Name | Type Code |
---|---|
Specialty Pharmacy Myrtle Beach | Doing Business As Name - Organization |
Street Address |
5900 N KINGS HWY STE C |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29577-2326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487969150 | Robert Derek Hitchcock | Pharmacist | 5900 N Kings Hwy Ste C, Myrtle Beach, SC 29577-2326 | 2010-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
Find all providers in zip 29577 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
1205352374 | Carolina Health Pharmacy LLC | Pharmacy | 4036 River Oaks Dr Unit B-1, Myrtle Beach, SC 29579-6695 | 2017-08-20 |
1215335336 | Health and Wellness Pharmacy LLC | Pharmacy | 5405 Dick Pond Rd, Myrtle Beach, SC 29588-6836 | 2014-12-06 |
1972923738 | Walmart | Pharmacy | 125 Maryport Drive, Myrtle Beach, SC 29575 | 2014-04-21 |
1871784660 | Fsq Pharmacy Holdings, LLC | Pharmacy | 9516 Highway 707, Suite B, Myrtle Beach, SC 29588-7346 | 2007-08-06 |
1780787556 | South Carolina Cvs Pharmacy LLC | Pharmacy | 6617 N Kings Hwy, Myrtle Beach, SC 29572-3012 | 2006-09-07 |
1699797340 | South Carolina Cvs Pharmacy LLC | Pharmacy | 1150 Seaboard St, Myrtle Beach, SC 29577-6517 | 2006-07-24 |
1003335159 | Joshua Sanders | Pharmacy | 7800 N Kings Hwy, Myrtle Beach, SC 29572-3053 | 2017-09-10 |
1720501778 | Walgreen Co | Pharmacy | 2901 N Kings Hwy, Myrtle Beach, SC 29577-3015 | 2017-07-21 |
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1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
1053918458 | Johns Island Pharmacy LLC | Pharmacy | 3133 Maybank Hwy, Johns Island, SC 29455-4838 | 2020-10-08 |
1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
Find all providers with the same taxonomy |
City | MYRTLE BEACH |
Zip Code | 29577 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.