Is this your practice, Tidewater Pharmacy & Medical Supply LLC? This profile is yours to edit: update your address, phone, photo and services.
Edit this profileTidewater Pharmacy & Medical Supply LLC is an organization based in Mount Pleasant, SC and listed in the NPI registry under community / retail pharmacy. According to Medicare claims data, the services billed most often include sarscv2 vac 30mcg trs-suc im, admn sarscov2 vacc 1 dose, and administration of influenza virus vaccine. NPI 1639562945 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Counted from individual NPI records registered at the same street address; a shared building can inflate this.
From registry street addresses: providers filed at this building, which can include unrelated practices sharing it.
421 JOHNNIE DODDS BLVD STE 100
Mount Pleasant, SC 29464
264 services · 262 patients · 6 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Sarscv2 vac 30mcg trs-suc im | Treatment | 91320 |
76 |
| Admn sarscov2 vacc 1 dose | Treatment | 90480 |
76 |
| Influenza vaccine, trivalent, 0.5 ml dosage | Treatment | 90658 |
40 |
| Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | Treatment | 90677 |
12 |
| Administration of influenza virus vaccine | Billing code | G0008 |
48 |
| Administration of pneumococcal vaccine | Billing code | G0009 |
12 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Tidewater Pharmacy & Medical Supply LLC is a community / retail pharmacy in Mount Pleasant, SC. That is the designation recorded for this NPI in the federal registry.
NPI registry
Tidewater Pharmacy & Medical Supply LLC is listed at 421 Johnnie Dodds Blvd Ste 100, Mount Pleasant, SC 29464. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (843) 375-6310. Contact the office directly to confirm availability and scheduling.
NPI registry
Tidewater Pharmacy & Medical Supply LLC's National Provider Identifier is 1639562945. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
According to Medicare billing data, Tidewater Pharmacy & Medical Supply LLC provides treatments such as sarscv2 vac 30mcg trs-suc im and admn sarscov2 vacc 1 dose. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Tidewater Pharmacy & Medical Supply LLC. If this is you, claiming it is free.
Guide.md
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