OrganizationActive
Polaris Jack, Inc.
NPI 1740890433 · Compounding Pharmacy · Myrtle Beach, SC
Polaris Jack, Inc. is a Compounding Pharmacy organization in Myrtle Beach, SC (NPI 1740890433).
Provider details
- NPI number
- 1740890433
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Forrest Westley, President(843) 293-7979
Specialties & taxonomies
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
3072 Dick Pond Rd Unit 2
Myrtle Beach, SC 29588-6954
Phone: (843) 293-7979
Fax: (843) 293-6499
Street-level locationGet directions
Mailing address
3072 Dick Pond Rd Unit 2
Myrtle Beach, SC 29588-6954
Other names (DBA / former)
- Doing business as
- Pure Compounding
Registry dates
- Enumerated
- 2020-08-06
- Last updated
- 2020-08-06
- Certified
- 2020-08-06
Frequently asked questions
- What is Polaris Jack, Inc.'s NPI number?
- Polaris Jack, Inc.'s National Provider Identifier (NPI) is 1740890433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Polaris Jack, Inc.?
- Polaris Jack, Inc. is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Polaris Jack, Inc. located?
- Polaris Jack, Inc.'s practice location on file with NPPES is 3072 Dick Pond Rd Unit 2, Myrtle Beach, SC 29588-6954.
- What is Polaris Jack, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Polaris Jack, Inc. is (843) 293-7979.
- Who is the authorized official for Polaris Jack, Inc.?
- The authorized official listed on Polaris Jack, Inc.'s NPPES record is Forrest Westley, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Polaris Jack, Inc.'s NPI active?
- Yes — Polaris Jack, Inc.'s NPI (1740890433) is active in the NPPES registry as of the last update on 2020-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.