Active NPI
Delta of Litchfield
- Community/Retail Pharmacy
- Pawleys Island, SC
National Provider Identifier
1083400907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DELTA OF LITCHFIELD
- Practice address
- 115 Willbrook Blvd Unit a
Pawleys Island, SC 29585-6542 - Phone
- (854) 600-1006
- NPI assigned
- Apr 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherry Parsons
- Title
- Manager
- Phone
- (843) 761-5255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
115 Willbrook Blvd Unit a
Pawleys Island, SC 29585-6542
Mailing address
402 E Main St
Moncks Corner, SC 29461-3616
Phone (843) 761-5255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251125002208 | SC | Part B Supplier - Pharmacy | 4486165289 | Practice locations: Pawleys Island, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2324353 | Delta of Litchfield, LLC | Certificate of waiver | May 21, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
115 Willbrook Blvd
Unit A
Pawleys Island, SC 29585
Phone (843) 314-0498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1083400907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 E MAIN ST",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613616",
"telephone_number": "843-761-5255",
"fax_number": "800-438-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 WILLBROOK BLVD UNIT A",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295856542",
"telephone_number": "854-600-1006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA OF LITCHFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-17",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "PARSONS",
"authorized_official_first_name": "SHERRY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "843-761-5255"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.