Palmetto Specialty Pharm LLC
NPI 1114643749 · Community/Retail Pharmacy · Mount Pleasant, SC
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Palmetto Specialty Pharm LLC is a Community/Retail Pharmacy organization in Mount Pleasant, SC (NPI 1114643749).
Provider details
- NPI number
- 1114643749
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ryan Fennick, Ceo(843) 972-7704
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Palmetto Pharm
- Doing business as
- Palmetto Pharm
Registry dates
- Enumerated
- 2022-10-14
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Frequently asked questions
- What is Palmetto Specialty Pharm LLC's NPI number?
- Palmetto Specialty Pharm LLC's National Provider Identifier (NPI) is 1114643749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Palmetto Specialty Pharm LLC?
- Palmetto Specialty Pharm LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Palmetto Specialty Pharm LLC located?
- Palmetto Specialty Pharm LLC's practice location on file with NPPES is 1200 Two Island Ct Unit B, Mount Pleasant, SC 29466-7418.
- What is Palmetto Specialty Pharm LLC's phone number?
- The practice phone number listed in the NPPES registry for Palmetto Specialty Pharm LLC is (843) 972-7704.
- Does Palmetto Specialty Pharm LLC accept Medicare?
- Palmetto Specialty Pharm LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Palmetto Specialty Pharm LLC?
- The authorized official listed on Palmetto Specialty Pharm LLC's NPPES record is Ryan Fennick, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Palmetto Specialty Pharm LLC's NPI active?
- Yes — Palmetto Specialty Pharm LLC's NPI (1114643749) is active in the NPPES registry as of the last update on 2024-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.