CHERRY GROVE COMPOUNDING, LLC


Address: 1124-2 Sea Mountain Highway, North Myrtle Beach, SC 29582
Phone: 8433613784

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
Suppliers

Office Location

Street Address 1124-2 SEA MOUNTAIN HIGHWAY
City NORTH MYRTLE BEACH
State SC
Zip Code 29582

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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
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Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City NORTH MYRTLE BEACH
Zip Code 29582

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Dataset Information

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.

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