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PARK CIRCLE PHARMACY, LLC
NPI 1972233807
Pharmacy - Community/Retail Pharmacy in North Charleston, SC

Active since June 14, 2022
4412 SPRUILL AVE STE C, NORTH CHARLESTON, SC 29405(843) 806-1299 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 5, 2022, Sep 16, 2022, Aug 17, 2022 (3 updates tracked since 2022).

About Park Circle Pharmacy, Llc NPPES

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

PARK CIRCLE PHARMACY, LLC (NPI 1972233807) is a healthcare organization registered as a community/retail pharmacy in North Charleston, South Carolina and active in the NPI registry since June 2022. The organization lists Michael Wise, Partner, as its authorized official.

NPPES Registry Identity

NPI1972233807
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePARK CIRCLE PHARMACY, LLC
Location Address4412 SPRUILL AVE STE CNorth Charleston, SC 29405-4787
Mailing Address36 Norview CirCharleston, SC 29407-3713 · (843) 754-8889
Phone(843) 806-1299
Organization SubpartNo
Authorized OfficialMichael WisePartner · (843) 806-1299
Enumeration DateJune 14, 2022
Last NPPES UpdateOctober 5, 20223 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1972233807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4412 SPRUILL AVE STE C, North Charleston, SC 29405
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Other Identifiers 1

Medicaid7Z1200SC

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 ›

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 42D2265567

Park Circle Pharmacy · North Charleston, SC
Expired · Jul 28, 2026
CLIA Number42D2265567
Laboratory TypePharmacy
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorVishal Patel
Laboratory Phone(843) 251-5694
Laboratory LocationPark Circle Pharmacy4412 Spruill Avenue, Unit C, North Charleston, SC 29405
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
16 services15 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
13 services13 patients

Other Providers at the Same Location NPPES

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

SHAD J SUTHERLAND RPH
Pharmacist
4412 SPRUILL AVE STE C
NORTH CHARLESTON, SC 29405
Charleston County (843) 806-1299

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 Park Circle Pharmacy, LLC's NPI number?

The NPI number for Park Circle Pharmacy, LLC is 1972233807. It was assigned to this organization in the NPPES registry on June 14, 2022.

Where is Park Circle Pharmacy, LLC located?

Park Circle Pharmacy, LLC is located at 4412 Spruill Ave Ste C, North Charleston, SC 29405. The listed phone number is (843) 806-1299.

What is Park Circle 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 Park Circle 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 46 other insurers list Park Circle 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 Park Circle Pharmacy, LLC was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.