Cherry Grove Drug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CHERRY GROVE DRUG LLC

Practice address

1201 Sea Mountain Hwy
North Myrtle Beach, SC 29582

Phone

(843) 361-3784

NPI assigned

Sep 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jenna Lynne Dukes, PHARMDNPI 1295023869

Title

Owner

Phone

(843) 361-3784

Specialties & licenses 1

Addresses

Other names 1

• Cherry Grove Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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

• Jenna Lynne Dukes, PHARMD

  • Pharmacist
  • North Myrtle Beach, SC
  • NPI 1295023869
  NPD Authorized official
• Maggie Reaves Langdale, PHARMD

  • Pharmacist
  • North Myrtle Beach, SC
  • NPI 1073281226
  NPD (past)
• Marjorie Jade Shahan, PHARMD

  • Pharmacist
  • North Myrtle Beach, SC
  • NPI 1174297352
  NPD (past)

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1477072874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SEA MOUNTAIN HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SEA MOUNTAIN HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29582",
            "telephone_number": "843-361-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY GROVE DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-361-3784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry Grove Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherry Grove Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Counseling & Wellness
• Centerwell Senior Primary Care SC JV PC
• Chapco Management Inc
• James Ferel Chapman Jr., PEDORTHIST
• Cherry Grove Compounding, LLC
• Cherry Grove Eye Care
• Christian Faith Home Care LLC
• Shari L Clarke, APRN
• Hannah Sue Cline, FNP-BC
• Coastal Carolinas Integrated Medicine II

• Community/Retail Pharmacy in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.