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 1417316548, based in Mount Pleasant, SC. It is classified under Specialty 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 |
|---|---|---|
| 15890 | SC | Specialty Pharmacy primary |
This provider holds licence 15890 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 Specialty Pharmacy covers
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. NUCC Health Care Provider Taxonomy, code 3336S0011X
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 | 1417316548 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 17, 2016 |
| Last updated | Feb 17, 2016 |
| Status | Active |
| Practice address |
421 JOHNNIE DODDS BLVD STE 100 Mount Pleasant, SC 29464 (843) 375-6310 Fax (843) 375-6311 |
| Other identifiers |
715890
· Medicaid (SC) |
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 | 4 | 1 | 7 | 3 | 1 | 6 | 5 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 6 | 1 | 3 | 5 | 8 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
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.