Individual provider Active NPI

Maggie Reaves Langdale, PHARMD

  • Pharmacist
  • North Myrtle Beach, SC
National Provider Identifier
1073281226
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43027 Issued in SC
Practice address
1201 Sea Mountain Hwy
North Myrtle Beach, SC 29582-2216
Phone
(843) 361-3784
NPI assigned
Sep 2, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43027 SC Primary

Addresses

Primary practice location

1201 Sea Mountain Hwy
North Myrtle Beach, SC 29582-2216

Mailing address

301 Club Cir
Myrtle Beach, SC 29572-4700
Phone (843) 655-2349

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
43027SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Grove Drug LLC PastSince Sep 5, 2021 Accepting new patients
Cherry Grove Compounding, LLC PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1073281226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CLUB CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724700",
            "telephone_number": "843-655-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SEA MOUNTAIN HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822216",
            "telephone_number": "843-361-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGDALE",
        "first_name": "MAGGIE",
        "middle_name": "REAVES",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "43027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 2, 2021; 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.