PHOENIX PHARMACY LLC
NPI 1487523221
Pharmacy - Community/Retail Pharmacy in Mount Pleasant, SC

Active since October 31, 2025CLIA 42D2340863 · Waiver
1204 HOSPITAL DRIVE, SUITE 102, MOUNT PLEASANT, SC 29464(854) 238-4499(854) 238-4477 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Phoenix Pharmacy Llc NPPES

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

PHOENIX PHARMACY LLC (NPI 1487523221) is a healthcare organization registered as a community/retail pharmacy in Mount Pleasant, South Carolina and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through March 23, 2028 and lists Chad Straughan, Owner, as its authorized official.

NPPES Registry Identity

NPI1487523221
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHOENIX PHARMACY LLC
Location Address1204 HOSPITAL DRIVE, SUITE 102Mount Pleasant, SC 29464
Mailing Address1204 Hospital Drive, Suite 102Mount Pleasant, SC 29464 · (854) 238-4499 · Fax (854) 238-4477
Fax(854) 238-4477
Organization SubpartNo
Authorized OfficialChad StraughanOwner · (854) 238-4499
Enumeration DateOctober 31, 2025
Last NPPES UpdateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1487523221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
1204 HOSPITAL DRIVE, Mount Pleasant, SC 29464

Accepted Insurance

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 42D2340863

Phoenix Pharmacy LLC · Mount Pleasant, SC
Active · expires Mar 23, 2028
CLIA Number42D2340863
Laboratory TypePharmacy
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorChad Straughan
Laboratory Phone(854) 238-4499
Laboratory LocationPhoenix Pharmacy LLC1204 Hospital Drive Suite 102, Mount Pleasant, SC 29464
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Pharmacist
1204 HOSPITAL DRIVE
MOUNT PLEASANT, SC 29464
Pharmacy
1204 HOSPITAL DRIVE, SUITE 102
MOUNT PLEASANT, SC 29464

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 Phoenix Pharmacy LLC's NPI number?

The NPI number for Phoenix Pharmacy LLC is 1487523221. It was assigned to this organization in the NPPES registry on October 31, 2025.

Where is Phoenix Pharmacy LLC located?

Phoenix Pharmacy LLC is located at 1204 Hospital Drive Suite 102, Mount Pleasant, SC 29464. The listed phone number is (854) 238-4499.

What is Phoenix Pharmacy LLC's specialty?

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

Does Phoenix Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2340863) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Phoenix Pharmacy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas City, Dean Health Plan and Medica and 11 other insurers list Phoenix Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Pharmacy LLC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.