PURE COMPOUNDING
NPI 1003003823
Pharmacy - Compounding Pharmacy in Myrtle Beach, SC

Active since September 25, 2007
3072 DICK POND RD, STE 2, MYRTLE BEACH, SC 29588(843) 293-7979(843) 293-6499 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Compounding Pharmacy

About PURE COMPOUNDING

This page provides the complete NPI Profile along with additional information for Pure Compounding, a provider established in Myrtle Beach, South Carolina operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1003003823 assigned on September 2007. The practitioner's primary taxonomy code is 3336C0004X with license number 9639 (SC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Pure Compounding. The authorized official of this NPI record is Melissa Lee (Owner)

NPI
1003003823 Verify this NPI
Provider Legal Name
PURE COMPOUNDING
Other Organization Name
PURE COMPOUNDING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3072 DICK POND RD STE 2 MYRTLE BEACH, SC 29588
Location Phone
(843) 293-7979
Location Fax
(843) 293-6499
Mailing Address
3072 DICK POND RD STE 2 MYRTLE BEACH, SC 29588
Mailing Phone
(843) 293-7979
Mailing Fax
(843) 293-6499
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2007
Last Update Date
04-19-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Compounding Pharmacy

Taxonomy Code
3336C0004X
Type
Suppliers
License No.
9639
License State
SC
Taxonomy Description
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336S0011XSuppliers

Pharmacy
Specialty Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MELISSA LEE

Authorized Official Title
OWNER
Authorized Official Phone
(843) 651-7979

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2093410OTHER (01)PK

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacist
3072 DICK POND RD
MYRTLE BEACH, SC 29588

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003003823, enumerated as an "organization" on September 25, 2007.

The provider is located at 3072 DICK POND RD STE 2 MYRTLE BEACH, SC 29588 and the phone number is (843) 293-7979.

Pharmacy with taxonomy code 3336C0004X and a focus in Compounding Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.