Pawleys Island Compounding Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

14285 Issued in SC

Legal business name

PAWLEYS ISLAND COMPOUNDING PHARMACY LLC

Practice address

9710 Ocean Hwy Unit 2
Pawleys Island, SC 29585-7585

Phone

(843) 235-0580

NPI assigned

Dec 24, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Lewis Waldrep, RPHNPI 1184960239

Title

Pharmacist in Charge

Phone

(843) 235-0580

Specialties & licenses 1

Addresses

Tax ID family

Pawleys Island Compounding Pharmacy LLC2 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.

• Pawleys Island Compounding Pharmacy LLC

  • Compounding Pharmacy
  • Pawley's Island, SC
  • NPI 1821337221
  NPD tax ID

Practitioners 1

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

• Lewis Darwin Waldrep, RPH

  • Pharmacist
  • Pawley's Island, SC
  • NPI 1184960239
  NPD (past) Authorized official

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

{
    "created_epoch": "1356307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356307200000",
    "number": "1437495223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 OCEAN HWY UNIT 2",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857585",
            "telephone_number": "843-235-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 OCEAN HWY UNIT 2",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857585",
            "telephone_number": "843-235-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWLEYS ISLAND COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-24",
        "last_updated": "2012-12-24",
        "status": "A",
        "authorized_official_last_name": "WALDREP",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "843-235-0580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "14285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Parker, LPES
• Dana Parrott
• Vishal Patel, PHARM. D
• Patricia R. Grant, MD PA
• Pawleys Internal Medicine, P.C.
• Pawleys Island Compounding Pharmacy LLC
• Pawleys Island Pediatric Dentistry
• Pawleys Island Pharm at Litchfield
• Pawleys Island Pharmacy LLC (Pawleys Island Pharmacy)
• Pawleys Island Pharmacy of Litchfield LLC (Pawleys Island Pharmacy of Litchfield)

• Compounding Pharmacy in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Compounding Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.

Verify at the official NPI Registry.