Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jeremy Kelly

Individual provider Pharmacist · NPI 1265851802

Mr. Jeremy Kelly is a Pharmacist in Myrtle Beach, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2014
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Practice location Address checks out

2751 Beaver Run Blvd
Myrtle Beach, SC 29575-5381
Phone: (843) 215-3856
Fax: (843) 215-3859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 9604 (SC)

Record details

NPI number1265851802
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 10, 2014
Last updated in NPPESApril 10, 2014

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