WALLENCIA VADA GRESHAM PHARMD
NPI 1265107676
Pharmacist in Simpsonville, SC

Active since August 09, 2021
704 FAIRVIEW RD, SIMPSONVILLE, SC 29680(864) 601-7010 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallencia Vada Gresham Pharmd NPPES

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

WALLENCIA VADA GRESHAM PHARMD (NPI 1265107676) is an individual pharmacist in Simpsonville, South Carolina, licensed in South Carolina (43070) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1265107676
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameWALLENCIA VADA GRESHAMCredential: PHARMD
Location Address704 FAIRVIEW RDSimpsonville, SC 29680-7117
Mailing Address704 Fairview RdSimpsonville, SC 29680-7117 · (864) 601-7010
Sole ProprietorNo
Enumeration DateAugust 9, 2021
NPPES CertifiedAugust 9, 2021
NPI 1265107676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in SC · 43070
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.
704 FAIRVIEW RD, Simpsonville, SC 29680

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 Wallencia Gresham's NPI number?

The NPI number for Wallencia Gresham is 1265107676. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Wallencia Gresham located?

Wallencia Gresham practices at 704 Fairview Rd, Simpsonville, SC 29680. The listed phone number is (864) 601-7010.

What is Wallencia Gresham'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 Wallencia Gresham was last updated on August 9, 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.