1. Home
  2. Directory
  3. South Carolina
  4. Johnsonville
  5. Pharmacy
  6. NPI Profile

WALL DRUGS OF JOHNSONVILLE, INC.
NPI 1245321363
Pharmacy in Johnsonville, SC

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

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wall Drugs Of Johnsonville, Inc. NPPES

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

WALL DRUGS OF JOHNSONVILLE, INC. (NPI 1245321363) is a healthcare organization registered as a pharmacy in Johnsonville, South Carolina and active in the NPI registry since September 2006. The organization lists Derrick Allan Wall, Owner Rph, as its authorized official.

NPPES Registry Identity

NPI1245321363
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALL DRUGS OF JOHNSONVILLE, INC.
Location Address239 STUCKEY STREETJohnsonville, SC 29555
Mailing Address239 Stuckey StJohnsonville, SC 29555-6448 · (843) 386-6135 · Fax (843) 380-1025
Phone(843) 386-6135
Fax(843) 380-1025
Organization SubpartNo
Authorized OfficialDerrick Allan WallOwner Rph · (843) 386-6135
Enumeration DateSeptember 27, 2006
Last NPPES UpdateFebruary 12, 2021
NPPES CertifiedFebruary 12, 2021
✔ NPI 1245321363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in SC · 50006733
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
239 STUCKEY STREET, Johnsonville, SC 29555
Open in Google Maps ↗

Other Identifiers 2

Medicaid767338SC
Other4224274Nabp # Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
27 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services26 patients

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 Wall Drugs Of Johnsonville, Inc.'s NPI number?

The NPI number for Wall Drugs Of Johnsonville, Inc. is 1245321363. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Wall Drugs Of Johnsonville, Inc. located?

Wall Drugs Of Johnsonville, Inc. is located at 239 Stuckey Street, Johnsonville, SC 29555. The listed phone number is (843) 386-6135.

What is Wall Drugs Of Johnsonville, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Wall Drugs Of Johnsonville, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Wall Drugs Of Johnsonville, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wall Drugs Of Johnsonville, Inc. was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.