OrganizationActive
Tidewater Pharmacy & Medical Supply LLC
NPI 1417316548 · Specialty Pharmacy · Mount Pleasant, SC
Tidewater Pharmacy & Medical Supply LLC is a Specialty Pharmacy organization in Mount Pleasant, SC (NPI 1417316548).
Provider details
- NPI number
- 1417316548
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Chad Straughan, Owner/Pharmacist(842) 375-6310
- License
- 15890 (SC)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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 29464-3052
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
- 2016-02-17
- Last updated
- 2016-02-17
Frequently asked questions
- What is Tidewater Pharmacy & Medical Supply LLC's NPI number?
- Tidewater Pharmacy & Medical Supply LLC's National Provider Identifier (NPI) is 1417316548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Pharmacy & Medical Supply LLC?
- Tidewater Pharmacy & Medical Supply LLC is classified in the NPPES registry as Specialty Pharmacy (Suppliers).
- Where is Tidewater Pharmacy & Medical Supply LLC located?
- Tidewater Pharmacy & Medical Supply LLC's practice location on file with NPPES is 421 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3052.
- What is Tidewater Pharmacy & Medical Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Pharmacy & Medical Supply LLC is (843) 375-6310.
- Who is the authorized official for Tidewater Pharmacy & Medical Supply LLC?
- The authorized official listed on Tidewater Pharmacy & Medical Supply LLC's NPPES record is Chad Straughan, Owner/Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Pharmacy & Medical Supply LLC's NPI active?
- Yes — Tidewater Pharmacy & Medical Supply LLC's NPI (1417316548) is active in the NPPES registry as of the last update on 2016-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.