Active NPI
Sylvia Waldroup, PHARMD
- Pharmacist
- Myrtle Beach, SC
National Provider Identifier
1669923215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36833
- Practice address
- 125 Maryport Dr
Myrtle Beach, SC 29575-6513 - Phone
- (843) 232-0485
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 36833 | SC | Primary |
Addresses
Primary practice location
125 Maryport Dr
Myrtle Beach, SC 29575-6513
Mailing address
104 Olde Towne Way Unit 5
Myrtle Beach, SC 29588-1242
Phone (843) 340-0290
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36833 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1669923215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 OLDE TOWNE WAY UNIT 5",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295881242",
"telephone_number": "843-340-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MARYPORT DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295756513",
"telephone_number": "843-232-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDROUP",
"first_name": "SYLVIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "36833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.