TIDEWATER PHARMACY & MEDICAL SUPPLY LLC
TIDEWATER PHARMACY & MEDICAL SUPPLY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1053705772, based in Mount Pleasant, SC. It is classified under Compounding Pharmacy.
Getting there
The practice address on file is 421 JOHNNIE DODDS BLVD STE 100, Mount Pleasant, SC 29464. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 35780 | SC | Compounding Pharmacy primary |
This provider holds licence 35780 issued in SC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Compounding Pharmacy covers
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. NUCC Health Care Provider Taxonomy, code 3336C0004X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1053705772 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 19, 2015 |
| Last updated | Jan 31, 2016 |
| Status | Active |
| Practice address |
421 JOHNNIE DODDS BLVD STE 100 Mount Pleasant, SC 29464 (843) 375-6310 Fax (843) 375-6311 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 7 | 0 | 5 | 7 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 5 | 0 | 1 | 7 | 5 |
Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.