Organization Active NPI

MBD Pharmacy

  • Pharmacist
  • Myrtle Beach, SC
National Provider Identifier
1831060078
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
MBD PHARMACY
Practice address
6507 N Kings Hwy
Myrtle Beach, SC 29572-3010
Phone
(843) 692-9494
Fax
(843) 692-7474
NPI assigned
Sep 12, 2025
Organization subpart
Yes
Parent organization
MYRTLE BEACH DIETAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Laura Gore, RPHNPI 1144570888
Title
Pharmacist
Phone
(843) 692-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

6507 N Kings Hwy
Myrtle Beach, SC 29572-3010

Mailing address

6507 N Kings Hwy
Myrtle Beach, SC 29572-3010
Phone (843) 692-9494

National Provider Directory

National Provider Directory
Part of
MBD Pharmacy

Locations

6507 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 692-9494

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1831060078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723010",
            "telephone_number": "843-692-9494",
            "fax_number": "843-692-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723010",
            "telephone_number": "843-692-9494",
            "fax_number": "843-692-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBD PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYRTLE BEACH DIET",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "GORE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "843-692-9494",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "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 Sep 12, 2025; 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.