Healthcare Provider Details

I. General information

NPI: 1124029442
Provider Name (Legal Business Name): RESPONSIVE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 11/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4605 OLEANDER DR SUITE 5
MYRTLE BEACH SC
29577-5739
US

IV. Provider business mailing address

4605 OLEANDER DR SUITE 5
MYRTLE BEACH SC
29577-5739
US

V. Phone/Fax

Practice location:
  • Phone: 843-497-5433
  • Fax: 843-497-5432
Mailing address:
  • Phone: 843-497-5433
  • Fax: 843-497-5432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1124029442
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number1124029442
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number11124029442
License Number StateSC
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number3010
License Number StateSC
# 6
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number3010
License Number StateSC
# 7
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number3010
License Number StateSC
# 8
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number20663
License Number StateTX
# 9
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3010
License Number StateSC
# 10
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number3010
License Number StateSC
# 11
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number20663
License Number StateTX
# 12
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number3010
License Number StateSC
# 13
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number20663
License Number StateTX
# 14
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number3010
License Number StateSC

VIII. Authorized Official

Name: MR. CONRAD E BANKS JR.
Title or Position: PRESIDENT CO-OWNER
Credential: RPH
Phone: 843-497-5433