Active NPI
Beach Pharmacist Inc
Doing business as northside pharmacy
- Pharmacist
- Myrtle Beach, SC
National Provider Identifier
1346346640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5002435
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Beach Pharmacist Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Northside Health Care
- Durable Medical Equipment & Medical Supplies
- Myrtle Beach, SC
- NPI 1639281793
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.