Compounding Center at the Tides

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

COMPOUNDING CENTER AT THE TIDES

Practice address

180 Wingo Way Ste 106
Mount Pleasant, SC 29464-1810

Phone

(843) 400-4060

NPI assigned

Oct 1, 2019

Last updated

Oct 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emerald Todd

Title

Medical Assistant

Phone

(843) 400-4060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1942841911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WINGO WAY STE 106",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294641810",
            "telephone_number": "843-400-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WINGO WAY STE 106",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294641810",
            "telephone_number": "843-400-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOUNDING CENTER AT THE TIDES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "EMERALD",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "843-400-4060"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Comen, D.C.
• Adele R Comite, PA C
• Community Care Physical Therapy LLC
• Compass Vision Care
• Complete Health Diagnostics, Inc.
• James N Conard, O.D.
• Concierge Telehealth LLC (Concierge Therapy)
• Christy L. Cone, M.D.
• Susan Candace Cone, RPH
• Allyrae Conley, LISW-CP

• Non-Pharmacy Dispensing Site in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Non-Pharmacy Dispensing Site in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.