Individual provider Active NPI

Glenn Aleck Cox, RPH

  • Pharmacist
  • Pawley's Island, SC
National Provider Identifier
1972785046
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
003828 Issued in SC
Practice address
9710 Ocean Hwy Unit 1
Pawleys Island, SC 29585-7585
Phone
(843) 235-4666
Fax
(843) 235-9630
NPI assigned
Nov 30, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 003828 SC Primary

Addresses

Primary practice location

9710 Ocean Hwy Unit 1
Pawleys Island, SC 29585-7585

Mailing address

9710 Ocean Hwy Unit 1
Pawleys Island, SC 29585-7585
Phone (843) 235-4666

Other identifiers 1

IdentifierTypeStateIssuer
746542MedicaidSC

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
003828SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pawleys Island Pharmacy LLC Current Accepting new patients

Locations

9710 Ocean Hwy
#1
Pawleys Island, SC 29585
Phone (843) 235-4666

Organizations & group practices 1

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1972785046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 OCEAN HWY UNIT 1",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857585",
            "telephone_number": "843-235-4666",
            "fax_number": "843-235-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 OCEAN HWY UNIT 1",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857585",
            "telephone_number": "843-235-4666",
            "fax_number": "843-235-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "GLENN",
        "middle_name": "ALECK",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "003828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "746542",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.