TIDEWATER PHARMACY & MEDICAL SUPPLY LLC
NPI 1639562945
Pharmacy - Community/Retail Pharmacy in Mount Pleasant, SC

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

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

Active since March 11, 2015

421 JOHNNIE DODDS BLVD, STE 100, MOUNT PLEASANT, SC 29464(843) 375-6310(843) 375-6311 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2024, Jan 31, 2016 (2 updates tracked since 2016).

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About Tidewater Pharmacy & Medical Supply Llc NPPES

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

TIDEWATER PHARMACY & MEDICAL SUPPLY LLC (NPI 1639562945) is a healthcare organization registered as a community/retail pharmacy in Mount Pleasant, South Carolina and active in the NPI registry since March 2015. The organization lists Cheryl Lynch, Pic / Manager, as its authorized official.

NPPES Registry Identity

NPI1639562945

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTIDEWATER PHARMACY & MEDICAL SUPPLY LLC

Location Address421 JOHNNIE DODDS BLVD, STE 100Mount Pleasant, SC 29464-2689

Mailing Address421 Johnnie Dodds Blvd, Ste 100Mount Pleasant, SC 29464-2689 · (843) 375-6310 · Fax (843) 375-6311

Phone(843) 375-6310

Fax(843) 375-6311

Organization SubpartNo

Authorized OfficialCheryl LynchPic / Manager · (843) 375-6310

Enumeration DateMarch 11, 2015

Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1639562945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in SC · 35780

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.

421 JOHNNIE DODDS BLVD, Mount Pleasant, SC 29464

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

48 services48 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

12 services12 patients

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

TIDEWATER PHARMACY & MEDICAL SUPPLY LLC

Durable Medical Equipment & Medical Supplies

421 JOHNNIE DODDS BLVD
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

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 1639562945. It was assigned to this organization in the NPPES registry on March 11, 2015.

Where is Tidewater Pharmacy & Medical Supply LLC located?

Tidewater Pharmacy & Medical Supply LLC is located at 421 Johnnie Dodds Blvd Ste 100, 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 Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Tidewater Pharmacy & Medical Supply LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 16 other insurers list Tidewater Pharmacy & Medical Supply 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 Tidewater Pharmacy & Medical Supply LLC was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.