PURE COMPOUNDING (NPI# 1003003823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003003823 |
| Entity Type | Organization |
| Organization Name | PURE COMPOUNDING |
| Other Organization Name | PURE COMPOUNDING |
| Practice Address |
3072 Dick Pond Rd Ste 2 Myrtle Beach SC 29588-6954 |
| Practice Telephone | 8432937979 |
| Practice Fax Number | 8432936499 |
| Mailing Telephone | 8432937979 |
| Mailing Fax Number | 8432936499 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | MELISSA LEE (OWNER) |
| Authorized Official Telephone | 8436517979 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
9639 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2093410 | 01 |
| Other Name | Type Code |
|---|---|
| PURE COMPOUNDING | Doing Business As Name - Organization |
| Street Address |
3072 DICK POND RD STE 2 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-6954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048973 | Shelly Carrington Shelton | Pharmacist | 3072 Dick Pond Rd, Myrtle Beach, SC 29588-6954 | 2020-03-23 |
| 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 | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890433 | Polaris Jack, Inc. | Pharmacy | 3072 Dick Pond Rd Unit 2, Myrtle Beach, SC 29588-6954 | 2020-08-06 |
| 1033423348 | Specialty Pharmacy Myrtle Beach LLC | Pharmacy | 5900 N Kings Hwy Ste C, Myrtle Beach, SC 29577-2326 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1780147504 | Cherry Grove Compounding, LLC | Pharmacy | 1124-2 Sea Mountain Highway, North Myrtle Beach, SC 29582 | 2019-04-09 |
| 1982071296 | Benzer Sc 1 LLC | Pharmacy | 1028 Edgewater Pkwy, Suite 103, Indian Land, SC 29707 | 2015-08-24 |
| 1669889374 | Sweetgrass Pharmacy & Compounding LLC | Pharmacy | 1952 Long Grove Dr Ste 5, Mt Pleasant, SC 29464-7579 | 2014-07-14 |
| 1518395656 | Compounding Solutions Pharmacy LLC | Pharmacy | 115 Pelham Rd Ste 12, Greenville, SC 29615-2155 | 2013-10-29 |
| 1447699871 | Greenhill Pharmacy Inc | Pharmacy | 2531 Woodruff Rd Ste 107, Simpsonville, SC 29681-5465 | 2013-06-19 |
| 1821337221 | Pawleys Island Compounding Pharmacy LLC | Pharmacy | 9710 Ocean Hwy, Unit 2, Pawleys Island, SC 29585-7585 | 2013-02-05 |
| 1093023020 | Custom Prescription Compounders LLC | Pharmacy | 194 Crepe Myrtle Ct, Aiken, SC 29803-7543 | 2010-09-24 |
| 1942527452 | Infuscience South Carolina LLC | Pharmacy | 462 Wando Park Blvd, Suite A, Mt Pleasant, SC 29464-7906 | 2010-04-23 |
| 1366774408 | Herolds Pharmacy LLC | Pharmacy | 2057 Charlie Hall Blvd Ste C, Charleston, SC 29414-6164 | 2010-01-30 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
Please comment or provide details below to improve the information on PURE COMPOUNDING.
| 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.