Waterway Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16793 Issued in SC

Legal business name

WATERWAY PHARMACY LLC

Practice address

3373 Highway 9 E
Little River, SC 29566-7826

Phone

(843) 734-0612

Fax

(843) 734-0793

NPI assigned

Aug 12, 2016

Organization subpart

No

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

Authorized official

Name

Mohit Pawar, MS PHARMACOLOGYNPI 1225344997

Title

Pharmacist

Phone

(843) 734-0612

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Waterway Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Tax ID family

Waterway Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Waterway Pharmacy LLC

  • Long Term Care Pharmacy
  • Little River, SC
  • NPI 1578457446
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohit Pawar, BS PHARMACY

  • Pharmacist
  • North Myrtle Beach, SC
  • NPI 1225344997
  NPD Authorized official

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1295289742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 HIGHWAY 9 E",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667826",
            "telephone_number": "843-734-0612",
            "fax_number": "843-734-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3373 HIGHWAY 9 E",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667826",
            "telephone_number": "843-734-0612",
            "fax_number": "843-734-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "PAWAR",
        "authorized_official_first_name": "MOHIT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "843-734-0612",
        "authorized_official_credential": "MS PHARMACOLOGY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "16793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716793",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162521",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Les A Walker, D.C.
• Rogers Smith Walker Sr., M.D.
• Christopher Peter Walsh, M.D.
• Morris J Washington III, M.D.
• Waterway Family Medicine, PA
• Waterway Pharmacy LLC
• Waterway Primary Care,LLC
• Christa Lanae Wentt, MD
• Cheryl Ann Werba
• Mary Melody Dawson Whitaker, DMD

• Community/Retail Pharmacy in Little River, SC
• Providers in Little River, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.