OrganizationActive
Tidewater Pharmacy & Medical Supply LLC
NPI 1053705772 · Compounding Pharmacy · Mount Pleasant, SC
Provider details
- NPI number
- 1053705772
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Chad Straughan, Owner/Pharmacist(843) 375-6310
- License
- 35780 (SC)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
421 Johnnie Dodds Blvd
Ste 100
Mount Pleasant, SC 29464
Phone: (843) 375-6310
Fax: (843) 375-6311
Street-level locationGet directions
Mailing address
421 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3052
Other names (DBA / former)
- Doing business as
- Tidewater Pharmacy & Compounding
Registry dates
- Enumerated
- 2015-03-19
- Last updated
- 2016-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.