Active NPI
Michele Doan
- Pharmacist
- Myrtle Beach, SC
National Provider Identifier
1417205204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13847
- Practice address
- 3411 Socastee Blvd
Myrtle Beach, SC 29588-6111 - Phone
- (843) 294-1285
- NPI assigned
- Aug 27, 2012
- Last updated
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13847 | SC | Primary |
Addresses
Primary practice location
3411 Socastee Blvd
Myrtle Beach, SC 29588-6111
Mailing address
3411 Socastee Blvd
Myrtle Beach, SC 29588-6111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13847 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1417205204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 SOCASTEE BLVD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295886111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 SOCASTEE BLVD",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295886111",
"telephone_number": "843-294-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "MICHELE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
- Tiffany Dipaola, PHARMD
- Patrick Anthony Disarno, RPH
- Distinctive Eyewear Vision Center
- Gabrielle Diulio, DPT
- DME Hearing Center, Inc. (Miracle Ear Center)
- Katherine Dobis
- Doctor Fitness , Inc
- Doctors Care SC, PA (Doctors Care Strand Medical)
- Doctors Care SC, PA (Doctors Care Carolina Forest)
- Doctors Care, PA (Doctors Care Market Commons)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.