Active NPI
Dotties Pharmacy LLC
Doing business as Dottie's Specialty Pharmacy
- Long Term Care Pharmacy
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- DOTTIES PHARMACY LLC
- Doing business as
- Dottie's Specialty Pharmacy
- Practice address
- 125 Wappoo Creek Dr Ste F
Charleston, SC 29412-2159 - Phone
- (843) 501-9500
- Fax
- (843) 414-7453
- NPI assigned
- Mar 27, 2015
- 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
- Justin Waclawek
- Title
- Coo
- Phone
- (716) 876-2323
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X | 15699 | SC |
Addresses
Primary practice location
125 Wappoo Creek Dr Ste F
Charleston, SC 29412-2159
Mailing address
3920 Main St Ste 100
Amherst, NY 14226-3350
Phone (843) 501-9500
Other names 1
- DOTTIE'S SPECIALTY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141003002176 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0749400224 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Charleston, SC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Dottie's Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
125 Wappoo Creek Dr
Ste F
Charleston, SC 29412
Phone (843) 501-9500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Charleston, SC
- NPI 1063820892
-
- Pharmacist
- Charleston, SC
- NPI 1619508876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762732800000",
"number": "1881088805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 MAIN ST STE 100",
"city": "AMHERST",
"state": "NY",
"postal_code": "142263350",
"telephone_number": "843-501-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 WAPPOO CREEK DR STE F",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122159",
"telephone_number": "843-501-9500",
"fax_number": "843-414-7453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOTTIES PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-27",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A",
"authorized_official_last_name": "WACLAWEK",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "716-876-2323"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "SC",
"license": "15699",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DOTTIE'S SPECIALTY PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DOTTIE'S SPECIALTY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.