Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PROFESSIONAL PHARMACY SERVICES, INC
Active
Organization
PROFESSIONAL PHARMACY SERVICES, INC
Active
Other names
Coastal Respiratory and Brace Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN KYLE STURGEON (CEO)
(843) 665-4051
Entity
Organization
Contact information
Practice address
224 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2938
(843) 665-4051
(843) 665-1616
Mailing address
PO BOX 7487, FLORENCE, SC 29502-7487
(843) 665-4051
(843) 799-2493
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
50-006977
SC
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
769771
—
SC
05
—
DME-197
—
SC
Enumeration date
08/31/2005
Last updated
05/14/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up