CHERRY GROVE COMPOUNDING, LLC (NPI# 1780147504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780147504 |
Entity Type | Organization |
Organization Name | CHERRY GROVE COMPOUNDING, LLC |
Practice Address |
1124-2 Sea Mountain Highway North Myrtle Beach SC 29582 |
Mailing Address |
1201 Sea Mountain Hwy North Myrtle Beach SC 29582-2216 |
Practice Telephone | 8433613784 |
Enumeration Date | 2019-04-09 |
Last Update Date | 2019-04-09 |
Authorized Official Name | JENNA L DUKES (OWNER) |
Authorized Official Telephone | 8433613784 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
Street Address |
1124-2 SEA MOUNTAIN HIGHWAY |
City | NORTH MYRTLE BEACH |
State | SC |
Zip Code | 29582 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942812656 | J&r Angels Care Services LLC | In Home Supportive Care | North Myrtle Beach Business Center Ste 115 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-08-24 |
1215561865 | Janella Jackson | In Home Supportive Care | North Myrtle Beach Business Center Suite 115, 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-02-22 |
1598125437 | Jebediah S Christy-north Myrtle Beach Pllc | Dentist | 1376 Hwy 17 N, North Myrtle Beach, SC 29582 | 2016-03-04 |
1972907277 | John Soileau | Veterinarian | 1530 Old Highway 17 N, North Myrtle Beach, SC 29582 | 2014-10-15 |
1306248422 | Dental Professionals of Sc, PC | Dentist | 1586 Hwy 17n, North Myrtle Beach, SC 29582 | 2014-09-19 |
1477899680 | Jessica Ober | Physical Therapist | 1100 David St., Apt #1208, North Myrtle Beach, SC 29582 | 2012-12-14 |
1568711646 | Erin Dixon | Pharmacist | 781 Main Street, North Myrtle Beach, SC 29582 | 2012-09-05 |
1972875722 | Medical Comfort Systems | Durable Medical Equipment & Medical Supplies | 1108 Sea Mountain Hwy Ste 3, North Myrtle Beach, SC 29582 | 2012-02-08 |
1295023869 | Jenna Lynne Dukes | Pharmacist | 1201 Sea Mountain Hwy, North Myrtle Beach, SC 29582 | 2011-07-18 |
1356633036 | Michael Paul Rivers | Chiropractor | 702-5 6th Avenue South, North Myrtle Beach, SC 29582 | 2011-05-12 |
Find all providers in zip 29582 |
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 |
---|---|---|---|---|
1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
1740890433 | Polaris Jack, Inc. | Pharmacy | 3072 Dick Pond Rd Unit 2, Myrtle Beach, SC 29588-6954 | 2020-08-06 |
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 |
1033423348 | Specialty Pharmacy Myrtle Beach LLC | Pharmacy | 5900 N Kings Hwy Ste C, Myrtle Beach, SC 29577-2326 | 2010-07-28 |
1942527452 | Infuscience South Carolina LLC | Pharmacy | 462 Wando Park Blvd, Suite A, Mt Pleasant, SC 29464-7906 | 2010-04-23 |
Find all providers with the same taxonomy |
City | NORTH MYRTLE BEACH |
Zip Code | 29582 |
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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.