Delta of Isle of Palms LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

15854 Issued in SC

Legal business name

DELTA OF ISLE OF PALMS LLC

Practice address

1400 Palm Blvd
Isle of Palms, SC 29451-2280

Phone

(843) 885-8008

Fax

(843) 899-4970

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Delta Pharmacy & Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Gandy, PHARM.D.

  • Pharmacist
  • Isle of Palms, SC
  • NPI 1962801621
  NPD (past)

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1275929218",
    "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": "843-899-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PALM BLVD",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512280",
            "telephone_number": "843-885-8008",
            "fax_number": "843-899-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA OF ISLE OF PALMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "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": "SC",
            "license": "15854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150847",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Bistis, COTA/L
• Brent G Bailey
• Michael John Budlong
• Meghan Barbara Casey, M.S.
• Taylor N Crews, MSN, APRN, PMHNP
• Brooke G Dooley, LPC
• Family Dental Health Group LLC
• Matthew Karl Feltman, RPH
• Joseph Gandy, PHARM.D.
• Taylor Gee

• Community/Retail Pharmacy in Isle of Palms, SC
• Providers in Isle of Palms, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.