Cvs/Pharmacy
NPI 1366841231ActiveOrganization· Pharmacist· Myrtle Beach, SC
Pharmacist in Myrtle Beach, South Carolina, registered in NPPES in August 2014. The authorized official on file is Crystal Donjon, Pharmacy Supervisor.
Overview
| NPI | 1366841231 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2014 |
| Last updated in NPPES | Aug 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 35452 | SC |
| Pharmacist | 183500000X | 03131744 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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