Individual provider Active NPI

Benjamin Furtwengler, PHARM. D., RPH.

  • Pharmacist
  • North Myrtle Beach, SC
National Provider Identifier
1326439209
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42468 Issued in SC
Practice address
601 Highway 17 N
North Myrtle Beach, SC 29582-2905
Phone
(843) 663-1459
Fax
(843) 663-1472
NPI assigned
Feb 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03234026 OH
Pharmacist 183500000X 25552 NC
Pharmacist 183500000X 42468 SC Primary

Addresses

Primary practice location

601 Highway 17 N
North Myrtle Beach, SC 29582-2905

Mailing address

601 Highway 17 N
North Myrtle Beach, SC 29582-2905
Phone (843) 663-1459

Other practice location 1

808 E 5th St
Tabor City, NC 28463-2200
Phone (910) 653-3562

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
25552NCMDPharmacist
03234026OHMDPharmacist
42468SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Oct 30, 2022 Accepting new patients
Walgreen Co PastSince Oct 30, 2022 Accepting new patients

Locations

601 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 663-1459

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": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1326439209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 17 N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822905",
            "telephone_number": "843-663-1459",
            "fax_number": "843-663-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 17 N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822905",
            "telephone_number": "843-663-1459",
            "fax_number": "843-663-1472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Tabor City",
            "state": "NC",
            "postal_code": "284632200",
            "country_code": "US",
            "telephone_number": "910-653-3562",
            "fax_number": "910-653-9782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURTWENGLER",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "PHARM. D., RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03234026",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25552",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42468",
            "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 Oct 27, 2022; 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.