Active NPI
Jeff W Hines, RPH
- Pharmacist
- Surfside Beach, SC
National Provider Identifier
1245532498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14008
- Practice address
- 601 Highway 17 N
Surfside Beach, SC 29575-6024 - Phone
- (843) 238-5628
- Fax
- (843) 232-0320
- NPI assigned
- Nov 20, 2010
- Last updated
- Oct 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 09046 | NC | |
| Pharmacist | 183500000X | 14008 | SC | Primary |
Addresses
Primary practice location
601 Highway 17 N
Surfside Beach, SC 29575-6024
Mailing address
601 Highway 17 N
Surfside Beach, SC 29575-6024
Phone (843) 238-5628
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09046 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1245532498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 HIGHWAY 17 N",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756024",
"telephone_number": "843-238-5628",
"fax_number": "843-232-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HIGHWAY 17 N",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756024",
"telephone_number": "843-238-5628",
"fax_number": "843-232-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "JEFF",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-20",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "09046",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "14008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surfside Beach, SC
- Richard Charles Greene, R.PH.
- Brian John Gross
- Kenza Grace Haddock
- Jennifer Lynn Hagan, MA
- Healing Journey LLC
- Kathleen Louise Houser
- James C Hughes III, MD
- Erin Hope Hunter, DC
- Internal Medicine PA (Beach Medicine of Internal Medicine PA)
- J.Harold Capps,Jr., DMD,PC Dbaglenns Bay Dental Associates (Glenns Bay Dental Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.