NPIMap

Organization Active NPI

Sweetgrass Pharmacy Carolina Park, LLC

  • Compounding Pharmacy
  • Mount Pleasant, SC
National Provider Identifier
1285527796
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
SWEETGRASS PHARMACY CAROLINA PARK, LLC
Practice address
3485 Park Avenue Blvd
Mt Pleasant, SC 29466-7242
Phone
(843) 800-7007
NPI assigned
Jun 2, 2025
Organization subpart
Yes
Parent organization
SWEETGRASS PHARMACY CAROLINA PARK, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Cynthia Feldman, PHARMD
Title
Ceo
Phone
(843) 800-7007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

3485 Park Avenue Blvd
Mt Pleasant, SC 29466-7242

Mailing address

3485 Park Avenue Blvd
Mt Pleasant, SC 29466-7242
Phone (843) 800-7007

National Provider Directory

National Provider Directory
Tax ID family
Sweetgrass Pharmacy Carolina Park LLC2 organizations share this tax ID, including this one
Part of
Sweetgrass Pharmacy Carolina Park LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3485 Park Avenue Blvd
Mt Pleasant, SC 29466
Phone (843) 654-4013

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1285527796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 PARK AVENUE BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667242",
            "telephone_number": "843-800-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 PARK AVENUE BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667242",
            "telephone_number": "843-800-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETGRASS PHARMACY CAROLINA PARK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SWEETGRASS PHARMACY CAROLINA PARK, LLC",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-800-7007",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.