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JACK EDWARD WILFONG
NPI 1750667671
Pharmacist in Myrtle Beach, SC

Active since October 24, 2011
9600 N KINGS HWY, MYRTLE BEACH, SC 29572(843) 449-2158(843) 692-7221 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Edward Wilfong NPPES

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

JACK EDWARD WILFONG (NPI 1750667671) is an individual pharmacist in Myrtle Beach, South Carolina, licensed in South Carolina (6772) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1750667671
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACK EDWARD WILFONG
Location Address9600 N KINGS HWYMyrtle Beach, SC 29572-4006
Mailing Address9600 N Kings HwyMyrtle Beach, SC 29572-4006 · (843) 449-2158 · Fax (843) 692-7221
Phone(843) 449-2158
Fax(843) 692-7221
Sole ProprietorNo
Enumeration DateOctober 24, 2011
✔ NPI 1750667671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in SC · 6772
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
9600 N KINGS HWY, Myrtle Beach, SC 29572
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOYCE NELSON JORDAN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9600 N KINGS HWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-2158

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 Jack Wilfong's NPI number?

The NPI number for Jack Wilfong is 1750667671. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Where is Jack Wilfong located?

Jack Wilfong practices at 9600 N Kings Hwy, Myrtle Beach, SC 29572. The listed phone number is (843) 449-2158.

What is Jack Wilfong's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jack Wilfong was last updated on October 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.