PROFESSIONAL PHARMACY SERVICES INC NPI 1598758955

NPI Information

NPI: 1598758955
Provider Name: PROFESSIONAL PHARMACY SERVICES, INC

Doing Business As: COASTAL RESPIRATORY AND BRACE STORE

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
773 MAIN ST
NORTH MYRTLE BEACH, SC
ZIP 29582
Phone: (843) 665-4051
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PROFESSIONAL PHARMACY SERVICES, INC is an oxygen equipment and supplies durable medical equipment medical supplies in North Myrtle Beach, SC. PROFESSIONAL PHARMACY SERVICES, INC NPI is 1598758955. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Respiratory And Brace Store.

The provider's business location address is:

773 MAIN ST
NORTH MYRTLE BEACH, SC
ZIP 29582-029
Phone: (843) 665-4051
Fax: (843) 799-2493

The provider's authorized official is Jonathan Kyle Sturgeon .
The authorized official title is Ceo and has the following contact phone number (843) 665-4051.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	50-006977	SOUTH CAROLINA	No
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	769771	MEDICAID	SOUTH CAROLINA
2	DME-197	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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