DR. BRANDON LEE ROTHROCK (NPI# 1265957476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265957476 |
| Entity Type | Individual |
| Full Name | DR. BRANDON LEE ROTHROCK |
| Credential | PHARMD |
| Practice Address |
1303 38th Ave N Myrtle Beach SC 29577-1315 |
| Mailing Address |
507 Pearl St Conway SC 29527-5719 |
| Practice Telephone | 8434484437 |
| Mailing Telephone | 8433155618 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 37310 | SC | Pharmacy Service Providers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
SC | Suppliers |
| Street Address |
1303 38TH AVE N |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508969270 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 | 2006-09-07 |
| 1053922120 | Desiree Mclelland | Pharmacist | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 | 2020-08-12 |
| 1720604440 | Mary Claire Greco | Nurse Practitioner | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 | 2020-06-18 |
| 1942858808 | Courtney Langley-speakes | Nurse Practitioner | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 | 2019-09-03 |
| 1003371832 | Cyril Eunice Aboy Ferreras | Nurse Practitioner | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 | 2019-02-06 |
| 1588135982 | Abbey Bensing | Pharmacist | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 | 2018-12-10 |
| 1215440185 | Corie Olivia Dillon | Nurse Practitioner | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 | 2017-11-14 |
| 1144763079 | Emily Pond Wright | Nurse Practitioner | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 | 2016-11-25 |
| 1598116485 | George Rollins | Nurse Practitioner | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 | 2016-06-22 |
| 1255799631 | Jessica Mckenzie Grimsley | Nurse Practitioner | 1303 38th Ave N, Myrtle Beach, SC 29577-1315 | 2016-02-01 |
| Find all providers in the same location | ||||
| 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 | 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 | 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.