Organization Active NPI

Pitt Street Pharmacy Inc

  • Pharmacist
  • Mount Pleasant, SC
National Provider Identifier
1700876927
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
4978 Issued in SC
Legal business name
PITT STREET PHARMACY INC
Practice address
111 Pitt St
Mt Pleasant, SC 29464-5318
Phone
(843) 884-4051
Fax
(843) 884-9117
NPI assigned
Oct 27, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Walter Kim Richardson, RPH
Title
Owner / President / Pharmacist
Phone
(843) 884-4051

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 4978 SC Primary
Pharmacy 333600000X 3596 SC

Addresses

Primary practice location

111 Pitt St
Mt Pleasant, SC 29464-5318

Mailing address

111 Pitt St
Mt Pleasant, SC 29464-5318
Phone (843) 884-4051

National Provider Directory

National Provider Directory

Locations

111 Pitt St
Mt Pleasant, SC 29464
Phone (843) 884-4051

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1700876927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PITT ST",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645318",
            "telephone_number": "843-884-4051",
            "fax_number": "843-884-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PITT ST",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645318",
            "telephone_number": "843-884-4051",
            "fax_number": "843-884-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITT STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER / PRESIDENT / PHARMACIST",
        "authorized_official_telephone_number": "843-884-4051",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "4978",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "3596",
            "primary": false
        }
    ],
    "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 Sep 11, 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.