CRYSTAL DONJON (NPI# 1558610055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558610055 |
| Entity Type | Individual |
| Full Name | CRYSTAL DONJON |
| Credential | PHARM.D. |
| Practice Address |
3411 Socastee Blvd Myrtle Beach SC 29588-6111 |
| Mailing Address |
2495 Windmill Way Myrtle Beach SC 29579-3536 |
| Practice Telephone | 8432941285 |
| Practice Fax Number | 8432941291 |
| Mailing Telephone | 8437425789 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11854 | SC | Pharmacy Service Providers |
| Street Address |
3411 SOCASTEE BLVD |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891892394 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3411 Socastee Blvd, Myrtle Beach, SC 29588-6111 | 2006-09-20 |
| 1124673850 | Noelle Kristen Terrana | Pharmacist | 3411 Socastee Blvd, Myrtle Beach, SC 29588-6111 | 2019-08-08 |
| 1790263408 | Korey Gallagher | Pharmacist | 3411 Socastee Blvd, Myrtle Beach, SC 29588-6111 | 2018-08-03 |
| 1295247831 | Rhonda Norris | Pharmacist | 3411 Socastee Blvd, Myrtle Beach, SC 29588-6111 | 2017-11-03 |
| 1790295988 | Tonya Hilton Skipper | Nurse Practitioner | 3411 Socastee Blvd, Myrtle Beach, SC 29588-6111 | 2017-10-03 |
| 1164973855 | Lauren Kuperus | Nurse Practitioner | 3411 Socastee Blvd, Myrtle Beach, SC 29588-6111 | 2016-10-18 |
| 1841615911 | Elmira O'brien | Nurse Practitioner | 3411 Socastee Blvd, Myrtle Beach, SC 29588-6111 | 2014-02-26 |
| 1831521319 | Brad Douglas Allison | Pharmacist | 3411 Socastee Blvd, Myrtle Beach, SC 29588-6111 | 2013-08-06 |
| 1023440500 | Victoria Marie Milton | Pharmacist | 3411 Socastee Blvd, Myrtle Beach, SC 29588-6111 | 2013-08-06 |
| 1417205204 | Michele Doan | Pharmacist | 3411 Socastee Blvd, Myrtle Beach, SC 29588-6111 | 2012-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| Find all providers in zip 29588 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1245703347 | Kaila Lee Brown | Pharmacist | 109 Breakers Dr Unit 421, Myrtle Beach, SC 29579-4422 | 2019-01-10 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1508308875 | Jamie Russell | Pharmacist | 2215 Brewster Dr Unit 438, Myrtle Beach, SC 29577-1762 | 2016-11-17 |
| 1942653845 | Kristina E Ferrell | Pharmacist | 178 Quail Hollow Rd, Myrtle Beach, SC 29579-7110 | 2016-07-15 |
| 1215312921 | Kaitlyn Rose Kupferer | Pharmacist | 3095 Howard Ave, Unit 301, Myrtle Beach, SC 29577-1914 | 2015-07-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| 1508285370 | Raymond Toth | Pharmacist | 2751 Beaver Run Blvd # Vd, Myrtle Beach, SC 29575-5381 | 2014-04-09 |
| 1801217617 | Scott Lamp | Pharmacist | 1903 Squealer Lake Covey, Myrtle Beach, SC 29588-8450 | 2013-12-20 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
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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.