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TED TRISTAN NUSSBAUM RPH
NPI 1497052666
Pharmacist in Moncks Corner, SC

Active since February 23, 2011
1008 OLD HIGHWAY 52 STE G, MONCKS CORNER, SC 29461(843) 899-4700(843) 899-4702 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, Sep 30, 2024, Mar 15, 2021 and 1 more (4 updates tracked since 2021).

About Ted Tristan Nussbaum Rph NPPES

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

TED TRISTAN NUSSBAUM RPH (NPI 1497052666) is an individual pharmacist in Moncks Corner, South Carolina, licensed in South Carolina (11560) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1497052666
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameTED TRISTAN NUSSBAUMCredential: RPH
Location Address1008 OLD HIGHWAY 52 STE GMoncks Corner, SC 29461-3011
Mailing Address1008 Old Highway 52 Ste GMoncks Corner, SC 29461-3011 · (843) 830-8640 · Fax (843) 899-4702
Phone(843) 899-4700
Fax(843) 899-4702
Sole ProprietorNo
Enumeration DateFebruary 23, 2011
Last NPPES UpdateJune 10, 20254 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1497052666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in SC · 11560
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1008 OLD HIGHWAY 52 STE G, Moncks Corner, SC 29461
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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.

NOAH DAVIS NUSSBAUM PHARMD
Pharmacist
1008 OLD HIGHWAY 52 STE G
MONCKS CORNER, SC 29461
Berkeley County (843) 899-4700
BERKELEY HOME PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1008 OLD HIGHWAY 52 STE G
MONCKS CORNER, SC 29461
Berkeley County (843) 899-4700

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 Ted Nussbaum's NPI number?

The NPI number for Ted Nussbaum is 1497052666. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Where is Ted Nussbaum located?

Ted Nussbaum practices at 1008 Old Highway 52 Ste G, Moncks Corner, SC 29461. The listed phone number is (843) 899-4700.

What is Ted Nussbaum's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Ted Nussbaum was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.