Polaris Jack, Inc.
NPI 1740890433ActiveOrganization· Pharmacy, Compounding Pharmacy· Myrtle Beach, SC
Pharmacy, Compounding Pharmacy in Myrtle Beach, South Carolina, registered in NPPES in August 2020. The authorized official on file is Forrest Westley, PHARMD, President.
Overview
| NPI | 1740890433 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2020 |
| Last updated in NPPES | Aug 6, 2020 |
| Certified by provider | Aug 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
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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