Individual provider Active NPI

Jenna Lynne Dukes, PHARMD

  • Pharmacist
  • North Myrtle Beach, SC
National Provider Identifier
1295023869
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13398 Issued in SC
Practice address
1201 Sea Mountain Hwy
North Myrtle Beach, SC 29582
Phone
(843) 361-3784
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13398 SC Primary

Addresses

Primary practice location

1201 Sea Mountain Hwy
North Myrtle Beach, SC 29582

Mailing address

1201 Sea Mountain Hwy
North Myrtle Beach, SC 29582-2216
Phone (843) 361-3784

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
13398SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Grove Drug LLC Current Accepting new patients
Cherry Grove Compounding, LLC Current Accepting new patients

Locations

1201 Sea Mountain Hwy
North Myrtle Beach, SC 29582
Phone (843) 361-3784

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1295023869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SEA MOUNTAIN HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822216",
            "telephone_number": "843-361-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SEA MOUNTAIN HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29582",
            "telephone_number": "843-361-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKES",
        "first_name": "JENNA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13398",
            "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 Jun 21, 2018; 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.