Active NPI
Joshua Sanders, RPH
- Community/Retail Pharmacy
- Myrtle Beach, SC
National Provider Identifier
1003335159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 37366
- Practice address
- 7800 N Kings Hwy
Myrtle Beach, SC 29572-3053 - Phone
- (843) 497-9995
- NPI assigned
- Sep 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 37366 | SC | Primary |
Addresses
Primary practice location
7800 N Kings Hwy
Myrtle Beach, SC 29572-3053
Mailing address
2002 Woodward Dr
Conway, SC 29527-5577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37366 | Other | SC | SCBOP PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37366 | SC | MD | Community/Retail Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505001600000",
"number": "1003335159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 WOODWARD DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295275577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 N KINGS HWY",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295723053",
"telephone_number": "843-497-9995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JOSHUA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-10",
"last_updated": "2017-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "37366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCBOP PHARMACIST LICENSE",
"identifier": "37366",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.