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Jeremy Kelly

NPI 1265851802ActiveIndividual· Pharmacist· Myrtle Beach, SC

Pharmacist in Myrtle Beach, South Carolina, licensed in SC, with an NPI issued in April 2014. Part D covered 87 prescriptions written in 2024.

Overview

NPI1265851802
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedApr 10, 2014
Last updated in NPPESApr 10, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X9604SC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)87 · 87 30-day fills
Patients76
Total drug cost$18,812

Medicare sources and data years

Other pharmacists in Myrtle Beach

All 155 pharmacists in Myrtle Beach · All pharmacists in South Carolina