NPIMap

Organization Active NPI

TPC Pharmacy, LLC

  • Community/Retail Pharmacy
  • North Charleston, SC
National Provider Identifier
1699214718
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TPC PHARMACY, LLC
Practice address
9275 Medical Plaza Dr Ste a
North Charleston, SC 29406-9140
Phone
(843) 266-6095
Fax
(843) 417-1913
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Joseph Edward NolanNPI 1679576813
Title
Owner
Phone
(843) 797-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

9275 Medical Plaza Dr Ste a
North Charleston, SC 29406-9140

Mailing address

9275 Medical Plaza Dr Ste a
North Charleston, SC 29406-9140
Phone (843) 266-6095

Other identifiers 1

IdentifierTypeStateIssuer
717242MedicaidSC

Other names 1

  • TPC Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200817000684 SC Part B Supplier - Mass Immunization (Roster Biller Only) 4486079035 Practice locations: North Charleston, SC

National Provider Directory

National Provider Directory

Locations

9275 Medical Plaza Dr
Ste A
North Charleston, SC 29406
Phone (843) 226-6095

Practitioners & affiliated clinicians

Practitioners 5

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": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1699214718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 MEDICAL PLAZA DR STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069140",
            "telephone_number": "843-266-6095",
            "fax_number": "843-417-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 MEDICAL PLAZA DR STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069140",
            "telephone_number": "843-266-6095",
            "fax_number": "843-417-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPC PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-797-3636"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717242",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TPC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.