OrganizationActive
Atlantic Urology Clinic LLC
NPI 1700571726 · Pharmacy · Myrtle Beach, SC
Provider details
- NPI number
- 1700571726
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Shaden Marzouk, President(239) 922-5961
Specialties & taxonomies
Suppliers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
823 82nd Pkwy Unit C
Myrtle Beach, SC 29572-4607
Phone: (843) 839-6624
Fax: (843) 839-6225
Street-level locationGet directions
Mailing address
823 82nd Pkwy Unit C
Myrtle Beach, SC 29572-4607
Other names (DBA / former)
- Doing business as
- Genesiscare Pharmacy of South Carolina
Registry dates
- Enumerated
- 2023-04-06
- Last updated
- 2023-04-06
- Certified
- 2023-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.