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DETYENS MEDICAL CENTER
NPI 1134720535
Pharmacy - Community/Retail Pharmacy in North Charleston, SC

Active since November 03, 2020
1670 DRYDOCK AVENUE, BUILDING 10, SUITE A, NORTH CHARLESTON, SC 29405(843) 747-3284(843) 308-6570 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Detyens Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DETYENS MEDICAL CENTER (NPI 1134720535) is a healthcare organization registered as a community/retail pharmacy in North Charleston, South Carolina and active in the NPI registry since November 2020. The organization lists Debra Lynn Gaskins, Pharmacist-in-charge, as its authorized official.

NPPES Registry Identity

NPI1134720535
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDETYENS MEDICAL CENTER
Location Address1670 DRYDOCK AVENUE, BUILDING 10, SUITE ANorth Charleston, SC 29405
Mailing Address1670 Drydock Avenue, Building 10, Suite ANorth Charleston, SC 29405 · (843) 747-3284 · Fax (843) 308-6570
Phone(843) 747-3284
Fax(843) 308-6570
Organization SubpartYes
Authorized OfficialDebra Lynn GaskinsPharmacist-in-charge · (843) 747-3284
Enumeration DateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1134720535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1670 DRYDOCK AVENUE, North Charleston, SC 29405
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Other Names 1

Other NameDetyens Medical Center Pharmacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1056705

Detyens Medical Center · North Charleston, SC
Expired · Jul 23, 2026
CLIA Number42D1056705
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorChris A. Raispis
Laboratory Phone(843) 747-3193
Laboratory LocationDetyens Medical Center1670 Drydock Ave Bldg 10A, North Charleston, SC 29405
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Detyens Medical Center's NPI number?

The NPI number for Detyens Medical Center is 1134720535. It was assigned to this organization in the NPPES registry on November 3, 2020. The provider is also known as Detyens Medical Center Pharmacy.

Where is Detyens Medical Center located?

Detyens Medical Center is located at 1670 Drydock Avenue Building 10, Suite A, North Charleston, SC 29405. The listed phone number is (843) 747-3284.

What is Detyens Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Detyens Medical Center was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.