McLeod Loris Seacoast Hospital

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13707 Issued in SC

Legal business name

MCLEOD LORIS SEACOAST HOSPITAL

Doing business as

McLeod Choice Pharmacy Seacoast

Practice address

4000 Highway 9 E
Little River, SC 29566-7833

Phone

(843) 366-3107

NPI assigned

Sep 29, 2010

Last updated

May 12, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

MCLEOD HEALTHAs reported in NPPES

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

Authorized official

Name

Samuel Fulton Ervin III

Title

Sr VP and Cfo

Phone

(843) 777-2910

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• McLeod Choice Pharmacy Seacoast Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 240

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Francis Villanueva Acaylar

  • Pediatrics Physician
  • Florence, SC
  • NPI 1295849008
  NPD
• Omar Boston Alexander, M.D.

  • Hospitalist Physician
  • Greenville, SC
  • NPI 1679735047
  NPD
• Cathryn Aliceaacosta, MD

  • Family Medicine Physician
  • Cheraw, SC
  • NPI 1295312130
  NPD
• Nathan Joe Savio Almeida, MD

  • Cardiovascular Disease Physician
  • Florence, SC
  • NPI 1669697389
  NPD
• Saria Rose Almo, PA-C

  • Medical Physician Assistant
  • Little River, SC
  • NPI 1013179563
  NPD
• Bismarck Amoah-Apraku, M.D.

  • Internal Medicine Physician
  • Orangeburg, SC
  • NPI 1396761912
  NPD
• Rajesh Bajaj, M.D.

  • Hematology & Oncology Physician
  • Florence, SC
  • NPI 1972543643
  NPD
• Mohamed Bassiouny, M.D.

  • Internal Medicine Physician
  • Loris, SC
  • NPI 1962753988
  NPD
• Edward Botse-Baidoo, M.D

  • Internal Medicine Physician
  • Myrtle Beach, SC
  • NPI 1578780177
  NPD
• Ian Matthew Broussard, D.O.

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1871024968
  NPD
• David Jonathan Budhoo, M.D.

  • Internal Medicine Physician
  • Anderson, SC
  • NPI 1821251240
  NPD
• Rita R Cagle, NP

  • Nurse Practitioner
  • Florence, SC
  • NPI 1699285411
  NPD

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1629387352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100567",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295020567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHWAY 9 E",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295667833",
            "telephone_number": "843-366-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD LORIS SEACOAST HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCLEOD HEALTH",
        "enumeration_date": "2010-09-29",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "FULTON",
        "authorized_official_title_or_position": "SR VP AND CFO",
        "authorized_official_telephone_number": "843-777-2910",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "13707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133930",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7498330001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLeod Choice Pharmacy Seacoast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindy Lynn McCarty, CDAC-II, LPC
• Alex Gregory McGaughy, M.D.
• Christine M McGinley, DO
• McLaughlin Family Enterprises, LLC (Nurse Next Door - Myrtle Beach)
• McLeod Loris Seacoast Hospital (McLeod Choice Pharmacy Seacoast)
• McLeod Occupational Health, LLC (McLeod Occupational Health Horry)
• McLeod Physician Associates (McLeod OB/GYN - Seacoast)
• McLeod Physician Associates II (McLeod Loris Seacoast Surgery)
• McLeod Physician Associates II (McLeod ENT Seacoast)
• McLeod Physician Associates II (McLeod Orthopaedics - Seacoast)

• Community/Retail Pharmacy in Little River, SC
• Providers in Little River, 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 May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.