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NPI · 1053705772 · NPPES-sourced

Tidewater Pharmacy & Medical Supply LLC

ActiveCompounding Pharmacy
NPI Number
1053705772
Type 2 · Organisation
Taxonomy Code
3336C0004X
Contact
(843) 375-6310
License SC · 35780
Last Updated
Enumerated
Primary practice addressSC · 29464
421 Johnnie Dodds Blvd, Ste 100Mount Pleasant, SC 29464
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About this NPIWhat this record shows.

NPI 1053705772 is registered to Tidewater Pharmacy & Medical Supply LLC, a healthcare organisation classified as "Compounding Pharmacy" and located at 421 Johnnie Dodds Blvd, Ste 100 in Mount Pleasant, South Carolina. The organisation's authorised official is Chad Straughan. The organisation has been enumerated in the NPI registry since 2015.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Tidewater Pharmacy & Medical Supply LLC accepts. To confirm in-network status with your specific health plan, contact Tidewater Pharmacy & Medical Supply LLC directly at (843) 375-6310.

Frequently asked

Yes. NPI 1053705772 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Compounding Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (843) 375-6310.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Tidewater Pharmacy & Medical Supply LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy3336C0004X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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Same specialtyOther Compounding Pharmacy providers in South Carolina.

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