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TIDEWATER PHARMACY & COMPOUNDING
NPI 1417341132
Durable Medical Equipment & Medical Supplies in Mount Pleasant, SC

Active since March 19, 2015
421 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464(843) 375-6310(843) 375-6311 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tidewater Pharmacy & Compounding NPPES

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

TIDEWATER PHARMACY & COMPOUNDING (NPI 1417341132) is a healthcare organization registered as a durable medical equipment & medical supplies in Mount Pleasant, South Carolina and active in the NPI registry since March 2015. The organization lists Chad Straughan, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1417341132
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameTIDEWATER PHARMACY & MEDICAL SUPPLY LLC
Location Address421 JOHNNIE DODDS BLVDMount Pleasant, SC 29464
Mailing Address421 Johnnie Dodds Blvd, Ste 100Mount Pleasant, SC 29464-2689 · (478) 954-1178 · Fax (843) 375-6311
Phone(843) 375-6310
Fax(843) 375-6311
Organization SubpartNo
Authorized OfficialChad StraughanOwner/pharmacist · (478) 954-1178
Enumeration DateMarch 19, 2015
Last NPPES UpdateFebruary 11, 2016
✔ NPI 1417341132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in SC · 35780
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
421 JOHNNIE DODDS BLVD, Mount Pleasant, SC 29464
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Other Names 1

Doing Business AsTidewater Pharmacy & Compounding

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIDEWATER PHARMACY & MEDICAL SUPPLY LLC
Pharmacy (Compounding Pharmacy)
421 JOHNNIE DODDS BLVD, STE 100
MOUNT PLEASANT, SC 29464
Charleston County (843) 375-6310
TIDEWATER PHARMACY & MEDICAL SUPPLY LLC
Pharmacy (Specialty Pharmacy)
421 JOHNNIE DODDS BLVD, STE 100
MOUNT PLEASANT, SC 29464
Charleston County (843) 375-6310
HEATHER D QUINN PHARMD
Pharmacist
421 JOHNNIE DODDS BLVD
MOUNT PLEASANT, SC 29464
Charleston County (843) 375-6310
TIDEWATER PHARMACY & MEDICAL SUPPLY LLC
Pharmacy (Community/Retail Pharmacy)
421 JOHNNIE DODDS BLVD, STE 100
MOUNT PLEASANT, SC 29464
Charleston County (843) 375-6310
TIDEWATER PHARMACY & MEDICAL SUPPLY LLC
Prosthetic/Orthotic Supplier
421 JOHNNIE DODDS BLVD, STE 100
MOUNT PLEASANT, SC 29464
Charleston County (843) 375-6310
TIDEWATER PHARMACY & MEDICAL SUPPLY LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
421 JOHNNIE DODDS BLVD, STE 100
MOUNT PLEASANT, SC 29464
Charleston County (843) 375-6310

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 Tidewater Pharmacy & Medical Supply LLC's NPI number?

The NPI number for Tidewater Pharmacy & Medical Supply LLC is 1417341132. It was assigned to this organization in the NPPES registry on March 19, 2015. The provider is doing business as Tidewater Pharmacy & Compounding.

Where is Tidewater Pharmacy & Medical Supply LLC located?

Tidewater Pharmacy & Medical Supply LLC is located at 421 Johnnie Dodds Blvd, Mount Pleasant, SC 29464. The listed phone number is (843) 375-6310.

What is Tidewater Pharmacy & Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Tidewater Pharmacy & Medical Supply LLC was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.