Tidewater Pharmacy & Medical Supply LLC
NPI 1053705772ActiveOrganization· Pharmacy, Compounding Pharmacy· Mount Pleasant, SC
Pharmacy, Compounding Pharmacy in Mount Pleasant, South Carolina, registered in NPPES in March 2015. The authorized official on file is Chad Straughan, PHARMD, Owner/Pharmacist.
Overview
| NPI | 1053705772 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2015 |
| Last updated in NPPES | Jan 31, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | 35780 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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