Healthcare Provider Details

I. General information

NPI: 1366378580
Provider Name (Legal Business Name): PODARIS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1537 BEN SAWYER BLVD
MOUNT PLEASANT SC
29464-5533
US

IV. Provider business mailing address

1537 BEN SAWYER BLVD
MOUNT PLEASANT SC
29464-5533
US

V. Phone/Fax

Practice location:
  • Phone: 888-526-4034
  • Fax: 954-708-1904
Mailing address:
  • Phone: 888-526-4034
  • Fax: 954-708-1904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN NESBITT
Title or Position: OWNER
Credential:
Phone: 843-276-4195