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Tidewater Pharmacy & Medical Supply LLC

Customized Equipment (DME) in Mount Pleasant, SC · enumerated 2015 · authorized official Chad Straughan, Owner/Pharmacist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962896688

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Registry record

Entity type Organization (Type 2)
Legal business name Tidewater Pharmacy & Medical Supply LLC
Other name <Unavail>
Practice address 421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant, SC, 29464
Phone (843) 375-6310
Fax (843) 375-6311
Enumeration date Mar 19, 2015
Last updated in NPPES Jan 31, 2016

Taxonomy & classification

332BC3200X Customized Equipment (DME) Suppliers · License 35780 (SC) Primary

Authorized official

Name Chad Straughan
Title Owner/Pharmacist
Phone (478) 954-1178

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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Tidewater Pharmacy & Medical Supply LLC?
Tidewater Pharmacy & Medical Supply LLC is registered in NPPES as a Customized Equipment (DME) (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-31.