PURE COMPOUNDING NPI 1003003823

Pharmacy (Compounding Pharmacy) in Myrtle Beach, SC

About PURE COMPOUNDING

Pure Compounding is a provider in Myrtle Beach, SC. The NPI number assigned to this provider is 1003003823. The practitioner's primary taxonomy code is Pharmacy (3336C0004X). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Pure Compounding.

NPI1003003823 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NamePURE COMPOUNDING
Provider Location Address3072 DICK POND RD STE 2 MYRTLE BEACH, SC 29588 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address3072 DICK POND RD STE 2 MYRTLE BEACH, SC 29588 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NamePURE COMPOUNDING Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date09-25-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-19-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

PURE COMPOUNDING
3072 DICK POND RD
STE 2
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 293-7979
Fax: (843) 293-6499
Get Directions

Mailing Address

PURE COMPOUNDING
3072 DICK POND RD
STE 2
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 293-7979
Fax: (843) 293-6499

Primary Taxonomy

Taxonomy Code3336C0004X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPharmacy
TypeSuppliers
SpecializationCompounding Pharmacy
License No.9639
License StateSC
Taxonomy DescriptionA 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.

Authorized Official

Authorized Official Name MELISSA LEE Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER
Authorized Official Phone(843) 651-7979

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
13336S0011XSuppliersPharmacySpecialty PharmacyNo

Taxonomy Description: a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2093410OTHER (01)

Map Location


PURE COMPOUNDING address is 3072 DICK POND RD STE 2 MYRTLE BEACH, SC 29588