Organization Active NPI

Tarrytown Expocare SC, Inc.

  • Long Term Care Pharmacy
  • Lexington, SC
National Provider Identifier
1245390707
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
TARRYTOWN EXPOCARE SC, INC.
Practice address
137 Cedar Rd Ste B
Lexington, SC 29073-8869
Phone
(803) 217-1088
Fax
(803) 239-2104
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Meyer Jr
Title
Cfo
Phone
(512) 649-8963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

137 Cedar Rd Ste B
Lexington, SC 29073-8869

Mailing address

8500 Shoal Creek Blvd BLDG 1
Austin, TX 78757-6888
Phone (803) 254-8775

Other identifiers 2

IdentifierTypeStateIssuer
751195MedicaidSC
2091791OtherPK

Other names 1

  • Tarrytown Expocare SC, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130923000802 SC Part B Supplier - Mass Immunization (Roster Biller Only) 7315181864 Practice locations: Lexington, SC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

454 Berryhill Rd
Columbia, SC 29210
Phone (803) 217-1088

111 Executive Center Dr
Ste 222
Columbia, SC 29210

137 Cedar Rd
Lexington, SC 29073

137 Cedar Rd
#B
Lexington, SC 29073
Phone (803) 217-1088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1245390707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 SHOAL CREEK BLVD BLDG 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576888",
            "telephone_number": "803-254-8775",
            "fax_number": "866-458-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 CEDAR RD STE B",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738869",
            "telephone_number": "803-217-1088",
            "fax_number": "803-239-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRYTOWN EXPOCARE SC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "MEYER JR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-649-8963"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751195",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2091791",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarrytown Expocare SC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.