MR. DERRICK ALLAN WALL RPH
NPI 1124119342
Pharmacist in Johnsonville, SC

Active since September 27, 2006
239 STUCKEY ST, JOHNSONVILLE, SC 29555(843) 386-6135(843) 380-1025 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derrick Allan Wall Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DERRICK ALLAN WALL RPH (NPI 1124119342) is an individual pharmacist in Johnsonville, South Carolina, licensed in South Carolina (9429) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1124119342
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. DERRICK ALLAN WALLCredential: RPH
Location Address239 STUCKEY STJohnsonville, SC 29555
Mailing AddressPo Box 947Johnsonville, SC 29555 · (843) 933-0080
Fax(843) 380-1025
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateSeptember 21, 2016
NPI 1124119342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in SC · 9429
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
239 STUCKEY ST, Johnsonville, SC 29555

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
239 STUCKEY ST
JOHNSONVILLE, SC 29555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Wall's NPI number?

The NPI number for Derrick Wall is 1124119342. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Derrick Wall located?

Derrick Wall practices at 239 Stuckey St, Johnsonville, SC 29555. The listed phone number is (843) 386-6135.

What is Derrick Wall's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Derrick Wall was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.