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WALL DRUGS OF JOHNSONVILLE
NPI 1629274063
Pharmacy in Johnsonville, SC

Active since June 22, 2007
239 EAST STUCKEY STREET, JOHNSONVILLE, SC 29555(843) 380-1066 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wall Drugs Of Johnsonville NPPES

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

WALL DRUGS OF JOHNSONVILLE (NPI 1629274063) is a healthcare organization registered as a pharmacy in Johnsonville, South Carolina and active in the NPI registry since June 2007. The organization lists Allan Derrick Wall, Pharmacists, as its authorized official.

NPPES Registry Identity

NPI1629274063
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALL DRUGS OF JOHNSONVILLE
Location Address239 EAST STUCKEY STREETJohnsonville, SC 29555-0545
Mailing Address239 East Stuckey Str.Johnsonville, SC 29555-0545 · (843) 380-1066
Phone(843) 380-1066
Organization SubpartNo
Authorized OfficialAllan Derrick WallPharmacists · (843) 386-6135
Enumeration DateJune 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629274063 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 EAST STUCKEY STREET, Johnsonville, SC 29555
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Other Identifiers 3

Medicaid767338SC
Other50006733SC · Pharmacy
Other4224274SC · Nabp

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's NPI number?

The NPI number for Wall Drugs Of Johnsonville is 1629274063. It was assigned to this organization in the NPPES registry on June 22, 2007.

Where is Wall Drugs Of Johnsonville located?

Wall Drugs Of Johnsonville is located at 239 East Stuckey Street, Johnsonville, SC 29555. The listed phone number is (843) 380-1066.

What is Wall Drugs Of Johnsonville's specialty?

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

When was this NPI record last updated?

The NPPES record for Wall Drugs Of Johnsonville was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.