Active NPI
Health and Wellness Pharmacy LLC
Doing business as carolina health pharmacy
- Community/Retail Pharmacy
- Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2025
- 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
- Janet Ibrahim, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 715588 | Medicaid | SC |
Other names 1
- carolina health pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150806012666 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 1456665223 | Practice locations: Myrtle Beach, SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Myrtle Beach, SC
- NPI 1588062608
-
- Pharmacist
- Myrtle Beach, SC
- NPI 1982245098
-
- Pharmacist
- Myrtle Beach, SC
- NPI 1427220607
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
- Christopher David Headley, BSN, RN
- Jacqueline Michele Headley, BSN RN
- Healing Beach LLC
- Healing Hands Health Center Inc
- Healogics Specialty Physicians of South Carolina, LLC
- Health and Wellness Pharmacy LLC
- Health Education Resource Outreach Community Services LLC (HERO Community Services, LLC)
- Healthserv, Inc
- Mary Heaphy
- Hearing Health Care, P. a.
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.