Organization Active NPI

Health and Wellness Pharmacy LLC

Doing business as carolina health pharmacy

  • Community/Retail Pharmacy
  • Myrtle Beach, SC
National Provider Identifier
1215335336
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HEALTH AND WELLNESS PHARMACY LLC
Doing business as
carolina health pharmacy
Practice address
5405 Dick Pond Rd
Myrtle Beach, SC 29588-6836
Phone
(843) 742-5243
NPI assigned
Dec 6, 2014
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Janet Ibrahim, RPHNPI 1588062608
Title
Pharmacist Incharge
Phone
(843) 215-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

5405 Dick Pond Rd
Myrtle Beach, SC 29588-6836

Mailing address

5405 Dick Pond Rd
Myrtle Beach, SC 29588-6836
Phone (843) 215-8200

Other identifiers 1

IdentifierTypeStateIssuer
715588MedicaidSC

Other names 1

  • carolina health pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150806012666 SC Part B Supplier - Mass Immunization (Roster Biller Only) 1456665223 Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

5405 Dick Pond Rd
Myrtle Beach, SC 29588
Phone (843) 215-8200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1215335336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 DICK POND RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886836",
            "telephone_number": "843-215-8200",
            "fax_number": "843-507-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 DICK POND RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886836",
            "telephone_number": "843-742-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND WELLNESS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-06",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PHARMACIST INCHARGE",
        "authorized_official_telephone_number": "843-215-8200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "715588",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "carolina health pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "carolina health pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.