Berkeley Home Pharmacy LLC
Berkeley Home Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Moncks Corner, SC, holding Type 2 (organization) NPI 1508223645 since 2016. The authorized official on file is Ted Nussbaum, Owner/Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508223645 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Berkeley Home Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 1008 OLD HIGHWAY 52 STE G, Moncks Corner, SC, 29461 |
| Phone | 8438994700 |
| Fax | 8438994702 |
| Enumeration date | 2016-01-20 |
| Last updated in NPPES | 2025-06-10 |
Authorized official
| Name | Ted Nussbaum |
|---|---|
| Title | Owner/Pharmacist |
| Phone | 8438994700 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 16354 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157670 | Other | — | PK |
| 716354 | Medicaid | SC | — |
Copy-ready billing details
Provider: Berkeley Home Pharmacy LLC NPI: 1508223645 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1008 OLD HIGHWAY 52 STE G, Moncks Corner, SC, 29461
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497052666 | Ted Nussbaum | Individual | Pharmacist | Moncks Corner, SC |
| 1023905759 | Noah Nussbaum | Individual | Pharmacist | Moncks Corner, SC |
Verify this record
Cross-check NPI 1508223645 against the authoritative CMS record: view Berkeley Home Pharmacy LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Berkeley Home Pharmacy LLC?
What is the NPI number for Berkeley Home Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-10.