Active NPI
Professional Health Consultants
- Pharmacist
- North Myrtle Beach, SC
National Provider Identifier
1104141605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8963
- Legal business name
- PROFESSIONAL HEALTH CONSULTANTS
- Practice address
- 401 6TH Ave S
North Myrtle Beach, SC 29582-3305 - Phone
- (843) 267-9583
- NPI assigned
- Mar 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda Blanton Norris
- Title
- Consultant
- Phone
- (843) 267-9583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8963 | SC | Primary |
Addresses
Primary practice location
401 6TH Ave S
North Myrtle Beach, SC 29582-3305
Mailing address
401 6TH Ave S
North Myrtle Beach, SC 29582-3305
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269820800000",
"number": "1104141605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 6TH AVE S",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 6TH AVE S",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823305",
"telephone_number": "843-267-9583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL HEALTH CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A",
"authorized_official_last_name": "NORRIS",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "BLANTON",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "843-267-9583"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "SC",
"license": "8963",
"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 Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.