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POLARIS JACK, INC.
NPI 1740890433
Pharmacy - Compounding Pharmacy in Myrtle Beach, SC

Active since August 06, 2020
3072 DICK POND RD UNIT 2, MYRTLE BEACH, SC 29588(843) 293-7979(843) 293-6499 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Polaris Jack, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POLARIS JACK, INC. (NPI 1740890433), doing business as Pure Compounding, is a healthcare organization registered as a compounding pharmacy in Myrtle Beach, South Carolina and active in the NPI registry since August 2020. The organization lists Forrest Westley, President, as its authorized official.

NPPES Registry Identity

NPI1740890433
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NamePOLARIS JACK, INC.
Location Address3072 DICK POND RD UNIT 2Myrtle Beach, SC 29588-6954
Mailing Address3072 Dick Pond Rd Unit 2Myrtle Beach, SC 29588-6954 · (843) 293-7979 · Fax (843) 293-6499
Phone(843) 293-7979
Fax(843) 293-6499
Organization SubpartNo
Authorized OfficialForrest WestleyPresident · (843) 293-7979
Enumeration DateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
✔ NPI 1740890433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
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.
3072 DICK POND RD UNIT 2, Myrtle Beach, SC 29588
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Other Names 1

Doing Business AsPure Compounding

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Polaris Jack, Inc.'s NPI number?

The NPI number for Polaris Jack, Inc. is 1740890433. It was assigned to this organization in the NPPES registry on August 6, 2020. The provider is doing business as Pure Compounding.

Where is Polaris Jack, Inc. located?

Polaris Jack, Inc. is located at 3072 Dick Pond Rd Unit 2, Myrtle Beach, SC 29588. The listed phone number is (843) 293-7979.

What is Polaris Jack, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Polaris Jack, Inc. was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.