McLeod Loris Seacoast Hospital
Organization Active NPI Community/Retail Pharmacy · Little River, SC
NPI 1629387352 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1629387352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 13707 (SC)
- Legal business name
- MCLEOD LORIS SEACOAST HOSPITAL
- Practice address
- 4000 Highway 9 E
Little River, SC 29566-7833 - Phone
- (843) 366-3107
- NPI assigned
- Sep 29, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- MCLEOD HEALTH
Authorized official
- Name
- Samuel Fulton Ervin III
- Title
- Sr VP and Cfo
- Phone
- (843) 777-2910
Practitioners 233
-
Omar Boston Alexander, M.D.
-
Bismarck Amoah-Apraku, M.D.
-
Rajesh Bajaj, M.D.
-
Mohamed Bassiouny, M.D.
-
Edward Botse-Baidoo, M.D
-
Ian Matthew Broussard, D.O.
-
David Jonathan Budhoo, M.D.
-
Rita R Cagle, NP
-
Rachel Bowen Caulder, CRNA
-
Nancy Anne Ciancione, CRNA
-
Sara Morgan Clark, M.D.
-
Walter E. Connor, MD
-
Joy H Coursey, CRNA
-
Joshua P Delong, CRNA
-
Brandi Leigh Denny, CRNA
-
Robert L Elder, M.D.
-
Carmen Esper, CRNA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0975525 | McLeod Loris/Seacoast Hospital | Accreditation | Apr 28, 2028 |
National Provider Directory
Locations
5000 Claire Chapin Epps Dr
Myrtle Beach, SC 29577
Phone (843) 390-8254
543 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 249-7232
1100 2nd Ave S
North Myrtle Beach, SC 29582
Phone (843) 390-8254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 13707 | SC | Yes |
Addresses
Primary practice location
4000 Highway 9 E
Little River, SC 29566-7833
Mailing address
PO Box 100567
Florence, SC 29502-0567
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7498330001 | Other | SC | MEDICARE |
| 2133930 | Other | PK |
Other names
- McLeod Choice Pharmacy Seacoast
Other providers in Little River, SC
- Mindy Lynn McCarty
- Alex Gregory McGaughy
- Christine M McGinley
- McLaughlin Family Enterprises, LLC
- McLeod Loris Seacoast Hospital
- McLeod Occupational Health, LLC
- McLeod Physician Associates
- McLeod Physician Associates II
- McLeod Physician Associates II
- McLeod Physician Associates II
All providers in Little River, SC · Community/Retail Pharmacy in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.