Individual provider Active NPI

Forrest Halsey Westley, PHARMD

  • Pharmacist
  • Myrtle Beach, SC
National Provider Identifier
1740819309
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37701 Issued in SC
Practice address
3072 Dick Pond Rd. Suite 2
Myrtle Beach, SC 29588
Phone
(843) 293-7979
NPI assigned
Apr 6, 2020
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37701 SC Primary

Addresses

Primary practice location

3072 Dick Pond Rd. Suite 2
Myrtle Beach, SC 29588

Mailing address

3072 Dick Pond, Rd, Suite 2
Myrtle Beach, SC 29588
Phone (843) 293-7979

Other identifiers 1

IdentifierTypeStateIssuer
33701OtherSCPHARMACIST

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address forrest@pure-compounding.com
Direct Messaging Address forrest@pure-compounding.com
Direct Messaging Address forrest@pure-compounding.com

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

LicenseStateTypeSpecialty
37701SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Jack, Inc. CurrentSince Aug 9, 2020 Accepting new patients
Pure Compounding PastSince Apr 17, 2020 Accepting new patients

Locations

3072 Dick Pond Rd
Unit 2
Myrtle Beach, SC 29588
Phone (843) 293-7979

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1740819309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3072 DICK POND, RD, SUITE 2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-293-7979",
            "fax_number": "843-293-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 DICK POND RD. SUITE 2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-293-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTLEY",
        "first_name": "FORREST",
        "middle_name": "HALSEY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "37701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "33701",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "forrest@pure-compounding.com",
            "affiliation": "N",
            "address_1": "3072 Dick Pond Rd. Suite 2",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "forrest@pure-compounding.com",
            "affiliation": "N",
            "address_1": "3072 Dick Pond Rd. Suite 2",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "forrest@pure-compounding.com",
            "affiliation": "N",
            "address_1": "3072 Dick Pond Rd. Suite 2",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 6, 2020; 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.