Individual provider Active NPI

Susan Elizabeth Corley Weems, RPH

  • Pharmacist
  • Myrtle Beach, SC
National Provider Identifier
1235487034
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9789 Issued in SC
Practice address
1150 Seaboard St
Myrtle Beach, SC 29577-6517
Phone
(843) 626-5034
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9789 SC Primary

Addresses

Primary practice location

1150 Seaboard St
Myrtle Beach, SC 29577-6517

Mailing address

616 Pistoia LN
Myrtle Beach, SC 29579-8418
Phone (803) 309-8190

Other practice location 1

1303 38th Ave N
Myrtle Beach, SC 29577-1315
Phone (843) 448-4437

Other identifiers 1

IdentifierTypeStateIssuer
9789OtherSCSTATE LICENSE NO.

Other names 1

  • Ms. Susan Elizabeth Corley Former name

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

LicenseStateTypeSpecialty
9789SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1235487034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 PISTOIA LN",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295798418",
            "telephone_number": "803-309-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SEABOARD ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776517",
            "telephone_number": "843-626-5034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 38th Ave N",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771315",
            "country_code": "US",
            "telephone_number": "843-448-4437",
            "fax_number": "843-946-9677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEMS",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH CORLEY",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "9789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO.",
            "identifier": "9789",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CORLEY",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 22, 2020; 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.