Organization Active NPI

Dotties Pharmacy LLC

Doing business as Dottie's Specialty Pharmacy

  • Long Term Care Pharmacy
  • Charleston, SC
National Provider Identifier
1881088805
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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

Updated by the provider on Nov 10, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLC2 organizations share this tax ID, including this one

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.

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.

Verify at the official NPI Registry.