Pure Compounding

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

9639 Issued in SC

Legal business name

PURE COMPOUNDING

Practice address

3072 Dick Pond Rd
Ste 2
Myrtle Beach, SC 29588-6954

Phone

(843) 293-7979

Fax

(843) 293-6499

NPI assigned

Sep 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Lee

Title

Owner

Phone

(843) 651-7979

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PURE COMPOUNDING Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Forrest Halsey Westley, PHARMD

  • Pharmacist
  • Myrtle Beach, SC
  • NPI 1740819309
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1003003823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3072 DICK POND RD",
            "address_2": "STE 2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886954",
            "telephone_number": "843-293-7979",
            "fax_number": "843-293-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 DICK POND RD",
            "address_2": "STE 2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886954",
            "telephone_number": "843-293-7979",
            "fax_number": "843-293-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-651-7979"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "9639",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURE COMPOUNDING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Publix Super Markets, Inc.
• Publix Super Markets, Inc.
• Viola Pugh
• Sarah Jean Puim, MD
• Jennifer Purcell, DO
• Robert Scott Purvis, MD
• Jesse Marsh Putman, D.O.
• Sheila Putman, D.O.
• Sandra Elaine Quast, LPC
• Branton Rice Queen, PT

• Compounding Pharmacy in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Compounding Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.