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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ted Tristan Nussbaum, RPH

Pharmacist in Moncks Corner, SC · enumerated 2011 · practices at Berkeley Home Pharmacy LLC.

Data current as of Jul 11, 2026 · sourced from CMS NPPES

National Provider Identifier

1497052666

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Registry record

Entity type Individual (Type 1)
Name Ted Tristan Nussbaum
Credential RPH
Sex Male
Practice address 1008 Old Highway 52 Ste G, Moncks Corner, SC, 29461
Phone (843) 899-4700
Fax (843) 899-4702
Enumeration date Feb 23, 2011
Last updated in NPPES Jun 10, 2025

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License 11560 (SC) Primary
RPH — Registered Pharmacist: A licensed pharmacist registered with a state board of pharmacy. About the RPH credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ted Nussbaum?
The National Provider Identifier (NPI) for Ted Nussbaum is 1497052666, a Type 1 (individual) record in the CMS NPPES registry.
Where does Ted Nussbaum practice?
The practice location on file with NPPES is in Moncks Corner, SC. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-10.