TIDEWATER PHARMACY & COMPOUNDING
NPI 1053705772
Pharmacy - Compounding Pharmacy in Mount Pleasant, SC

NPI Status: Active since March 19, 2015

Contact Information

421 JOHNNIE DODDS BLVD
STE 100
MOUNT PLEASANT, SC
ZIP 29464
Phone: (843) 375-6310
Fax: (843) 375-6311

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  • Organization
  • Pharmacy
  • Compounding Pharmacy

About TIDEWATER PHARMACY & COMPOUNDING

This page provides the complete NPI Profile along with additional information for Tidewater Pharmacy & Compounding, a provider established in Mount Pleasant, South Carolina operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1053705772 assigned on March 2015. The practitioner's primary taxonomy code is 3336C0004X with license number 35780 (SC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Tidewater Pharmacy & Compounding. The authorized official of this NPI record is Chad Straughan Pharmd (Owner/pharmacist)

NPI
1053705772
Provider Legal Name
TIDEWATER PHARMACY & MEDICAL SUPPLY LLC
Other Organization Name
TIDEWATER PHARMACY & COMPOUNDING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
421 JOHNNIE DODDS BLVD STE 100 MOUNT PLEASANT, SC 29464
Location Phone
(843) 375-6310
Location Fax
(843) 375-6311
Mailing Address
421 JOHNNIE DODDS BLVD STE 100 MOUNT PLEASANT, SC 29464
Mailing Phone
(478) 954-1178
Mailing Fax
(843) 375-6311
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2015
Last Update Date
01-31-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Compounding Pharmacy

Taxonomy Code
3336C0004X
Type
Suppliers
License No.
35780
License State
SC
Taxonomy Description
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHAD STRAUGHAN PHARMD

Authorized Official Title
OWNER/PHARMACIST
Authorized Official Phone
(843) 375-6310

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053705772, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 4 + 0 + 1 + 0 + 7 + 1 + 4 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1053705772.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
421 JOHNNIE DODDS BLVD, STE 100
MOUNT PLEASANT, SC 29464
Prosthetic/Orthotic Supplier
421 JOHNNIE DODDS BLVD, STE 100
MOUNT PLEASANT, SC 29464
Durable Medical Equipment & Medical Supplies
421 JOHNNIE DODDS BLVD
MOUNT PLEASANT, SC 29464
Pharmacy (Specialty Pharmacy)
421 JOHNNIE DODDS BLVD, STE 100
MOUNT PLEASANT, SC 29464
Pharmacist
421 JOHNNIE DODDS BLVD
MOUNT PLEASANT, SC 29464
Pharmacy (Community/Retail Pharmacy)
421 JOHNNIE DODDS BLVD, STE 100
MOUNT PLEASANT, SC 29464

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053705772, enumerated as an "organization" on March 19, 2015.

The provider is located at 421 JOHNNIE DODDS BLVD STE 100 MOUNT PLEASANT, SC 29464 and the phone number is (843) 375-6310.

Pharmacy with taxonomy code 3336C0004X and a focus in Compounding Pharmacy.