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

NPI Status: Active since September 25, 2007

Contact Information

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

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  • Organization
  • Pharmacy
  • Compounding Pharmacy

About PURE COMPOUNDING

Pure Compounding is a provider established in Myrtle Beach, South Carolina operating as a Pharmacy with a focus 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 8 years ago. The provider's is doing business as Pure Compounding. The authorized official of this NPI record is Melissa Lee (Owner)

NPI
1003003823
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?
N/A
Is Organization Subpart?
No
Enumeration Date
09-25-2007
Last Update Date
04-19-2016
Code Navigator

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

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*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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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003003823
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200300684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 6 + 8 + 4 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003003823 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1063048973 SHELLY CARRINGTON SHELTON
Individual
Pharmacist3072 DICK POND RD
MYRTLE BEACH, SC 29588
(843) 293-7979

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003003823, enumerated in the NPI registry 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

This medical organization specializes in Pharmacy with taxonomy code 3336C0004X with a focus in Compounding Pharmacy

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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