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BERKELEY HOME PHARMACY LLC
NPI 1508223645
Pharmacy - Community/Retail Pharmacy in Moncks Corner, SC

Active since January 20, 2016
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 6 more (9 updates tracked since 2016).

About Berkeley Home Pharmacy Llc NPPES

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

BERKELEY HOME PHARMACY LLC (NPI 1508223645), doing business as Berkeley Home Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Moncks Corner, South Carolina and active in the NPI registry since January 2016. The organization lists Ted Tristan Nussbaum, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1508223645
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBERKELEY HOME PHARMACY LLC
Location Address1008 OLD HIGHWAY 52 STE GMoncks Corner, SC 29461-3011
Mailing Address1008 Old Highway 52 Ste GMoncks Corner, SC 29461-3011 · (843) 899-4700 · Fax (843) 899-4702
Phone(843) 899-4700
Fax(843) 899-4702
Organization SubpartNo
Authorized OfficialTed Tristan NussbaumOwner/pharmacist · (843) 899-4700
Enumeration DateJanuary 20, 2016
Last NPPES UpdateJune 10, 20259 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1508223645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in SC · 16354
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 ListedPharmacyTaxonomy 333600000X
1008 OLD HIGHWAY 52 STE G, Moncks Corner, SC 29461
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Other Names 1

Doing Business AsBerkeley Home Pharmacy

Other Identifiers 2

Other2157670Pk
Medicaid716354SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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
TED TRISTAN NUSSBAUM RPH
Pharmacist
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 Berkeley Home Pharmacy LLC's NPI number?

The NPI number for Berkeley Home Pharmacy LLC is 1508223645. It was assigned to this organization in the NPPES registry on January 20, 2016. The provider is doing business as Berkeley Home Pharmacy.

Where is Berkeley Home Pharmacy LLC located?

Berkeley Home Pharmacy LLC is located at 1008 Old Highway 52 Ste G, Moncks Corner, SC 29461. The listed phone number is (843) 899-4700.

What is Berkeley Home Pharmacy LLC's specialty?

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

What insurance does Berkeley Home Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Berkeley Home 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 Berkeley Home Pharmacy LLC was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.