MEDICARE: RESPONSIVE SOLUTIONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	11124029442	SC
2	332B00000X	Durable Medical Equipment & Medical Supplies	3010	SC
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	3010	SC
4	333600000X	Pharmacy	3010	SC
5	333600000X	Pharmacy	20663	TX
6	183500000X	Pharmacist	1124029442	SC
7	183700000X	Pharmacy Technician	1124029442	SC
8	251G00000X	Community Based Hospice Care Agency
9	3336C0003X	Community/Retail Pharmacy	3010	SC
10	3336H0001X	Home Infusion Therapy Pharmacy	20663	TX
11	3336M0002X	Mail Order Pharmacy	3010	SC
12	3336M0002X	Mail Order Pharmacy	20663	TX
13	3336S0011X	Specialty Pharmacy	3010	SC
14	3336H0001X	Home Infusion Therapy Pharmacy	3010	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1124029442	OTHER	SC	MEDICARE ID HOME INFUSION PHARMACY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124029442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPONSIVE SOLUTIONS INC

Provider Business Mailing Address
First Line	:	4605 OLEANDER DR
Second Line	:	SUITE 5
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-5739
Country	:	US
Telephone Number	:	843-497-5433
Fax Number	:	843-497-5432

Provider Business Practice Location Address
First Line	:	4605 OLEANDER DR
Second Line	:	SUITE 5
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-5739
Country	:	US
Telephone Number	:	843-497-5433
Fax Number	:	843-497-5432

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	11/06/2018

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Directions to “RESPONSIVE SOLUTIONS INC ” Practice Location

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