LITTLE RIVER MEDICAL CENTER PHARMACY (NPI# 1487931341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487931341 |
| Entity Type | Organization |
| Organization Name | LITTLE RIVER MEDICAL CENTER PHARMACY |
| Practice Address |
4220 Carolina Exchange Dr Myrtle Beach SC 29579-4220 |
| Mailing Address |
Po Box 547 Little River SC 29566-0547 |
| Practice Telephone | 8436638051 |
| Practice Fax Number | 8436638382 |
| Mailing Telephone | (843) 663-8031 |
| Mailing Fax Number | 8436638131 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2017-07-11 |
| Authorized Official Name | DR. KRISTOPHER L CHIPLINSKI (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8436638031 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | LITTLE RIVER MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
13556 | SC | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 4230481 | 01 | |
| SC | 713556 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043394299 | Little River Medical Center Pharmacy | Pharmacy | 4303 Live Oak Dr, Little River, SC 29566-9138 | 2006-10-24 |
| Street Address |
4220 CAROLINA EXCHANGE DR |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922055722 | Romeo Torres Nillas | Internal Medicine | 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579-4220 | 2006-05-27 |
| 1730552837 | Janice Moore | Nurse Practitioner | 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579-4220 | 2015-11-11 |
| 1770982472 | Virginia Hornbeck | Counselor | 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579-4220 | 2014-08-19 |
| 1356740351 | Tricia Payne | Social Worker | 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579-4220 | 2014-08-15 |
| 1043508708 | Eunice Luz Guzman | Internal Medicine | 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579-4220 | 2011-07-15 |
| 1629155338 | Maristela Y Nabong-nillas | Pediatrics | 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579-4220 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447756762 | Associated Medical Specialists, Pa | Pharmacy | 8121 Rourk St, Myrtle Beach, SC 29572-4128 | 2018-04-04 |
| 1184972101 | Cvs Pharmacy | Pharmacy | 6617 N Kings Hwy, Myrtle Beach, SC 29572-3012 | 2012-08-23 |
| 1821108457 | Costco Wholesale Corporation | Pharmacy | 1021 Oak Forest Ln, Myrtle Beach, SC 29577 | 2006-08-30 |
| 1376574368 | K Mart Corp | Pharmacy | 1403 N Kings Hwy, Myrtle Beach, SC 29577-3638 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144840026 | Salubrius Pharmacy, LLC | Pharmacy | 120 Clair Dr, Powdersville, SC 29673-7771 | 2020-04-21 |
| 1073146502 | Greenville Health Corporation | Pharmacy | 115 N Sumter St Ste 220, Sumter, SC 29150-4972 | 2020-02-12 |
| 1043858996 | M Holdings LLC | Pharmacy | 808 Highway 378 Ste A, Lexington, SC 29072-8379 | 2019-12-11 |
| 1033760483 | Eau Claire Cooperative Health Center, Inc. | Pharmacy | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2019-09-26 |
| 1467002816 | Black River Pharmacy LLC | Pharmacy | 32a N Williamsburg County Hwy, Kingstree, SC 29556-2433 | 2019-09-18 |
| 1548821457 | Dipti H Patel | Pharmacy | 636 Chartwell Dr, Greer, SC 29650-4787 | 2019-06-23 |
| 1972163350 | Genesis Health Care, Inc | Pharmacy | 211 S Jones Rd Ste A, Olanta, SC 29114-9705 | 2019-06-18 |
| 1013571314 | Publix Super Markets, Inc. | Pharmacy | 730 Hopewell Drive, Charleston-berkeley, SC 29492-7102 | 2019-04-23 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1740788066 | Zivitski Health Group LLC | Pharmacy | 345 W Main Street, Gray Court, SC 29645 | 2018-02-01 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
Please comment or provide details below to improve the information on LITTLE RIVER MEDICAL CENTER PHARMACY.
| 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.