Organization Active NPI

Beach Pharmacist Inc

Doing business as northside pharmacy

  • Pharmacist
  • Myrtle Beach, SC
National Provider Identifier
1346346640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5002435 Issued in SC
Legal business name
BEACH PHARMACIST INC
Doing business as
northside pharmacy
Practice address
6105 N Kings Hwy
Myrtle Beach, SC 29577-2372
Phone
(843) 449-3325
Fax
(843) 449-6680
NPI assigned
Sep 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Jollie Hitchcock, RPH
Title
Owner/Pharmacist
Phone
(843) 449-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5002435 SC Primary

Addresses

Primary practice location

6105 N Kings Hwy
Myrtle Beach, SC 29577-2372

Mailing address

6105 N Kings Hwy
Myrtle Beach, SC 29577-2372
Phone (843) 449-3325

Other names 1

  • northside pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beach Pharmacist Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346346640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772372",
            "telephone_number": "843-449-3325",
            "fax_number": "843-449-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772372",
            "telephone_number": "843-449-3325",
            "fax_number": "843-449-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH PHARMACIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HITCHCOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOLLIE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "843-449-3325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "5002435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "northside pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 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.