Cherry Grove Compounding, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

CHERRY GROVE COMPOUNDING, LLC

Practice address

1124-2 Sea Mountain Highway
North Myrtle Beach, SC 29582

Phone

(843) 361-3784

NPI assigned

Apr 9, 2019

Organization subpart

No

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

Authorized official

Name

Jenna L Dukes, PHARMDNPI 1295023869

Title

Owner

Phone

(843) 361-3784

Specialties & licenses 1

Addresses

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": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1780147504",
    "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": "1124-2 SEA MOUNTAIN HIGHWAY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29582",
            "telephone_number": "843-361-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY GROVE COMPOUNDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-361-3784",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Compounding Pharmacy in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Compounding Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.