Active NPI
Tarrytown Expocare SC, Inc.
- Long Term Care Pharmacy
- Lexington, SC
National Provider Identifier
1245390707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 751195 | Medicaid | SC | |
| 2091791 | Other | PK |
Other names 1
- Tarrytown Expocare SC, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130923000802 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315181864 | Practice locations: Lexington, SC |
National Provider Directory
National Provider DirectoryMember 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.
-
- Pharmacist
- Lexington, SC
- NPI 1861307985
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.