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WALMART PHARMACY
NPI 1750785127
Pharmacist in Anderson, SC

Active since October 14, 2014CLIA Certified · 2 labs
3812 LIBERTY HWY, ANDERSON, SC 29621(864) 231-6071(864) 231-6073 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Walmart Pharmacy NPPES

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

WALMART PHARMACY (NPI 1750785127) is a healthcare organization registered as a pharmacist in Anderson, South Carolina and active in the NPI registry since October 2014. The organization holds 2 active CLIA laboratory certificates and lists Dennis Van Peterson, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1750785127
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameWALMART PHARMACY
Location Address3812 LIBERTY HWYAnderson, SC 29621-1344
Mailing Address3812 Liberty HwyAnderson, SC 29621 · (864) 231-6071 · Fax (864) 231-6073
Phone(864) 231-6071
Fax(864) 231-6073
Organization SubpartYesParent: Walmart
Authorized OfficialDennis Van PetersonPharmacist · (864) 231-6071
Enumeration DateOctober 14, 2014
✔ NPI 1750785127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in SC · 05847
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.
3812 LIBERTY HWY, Anderson, SC 29621
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Other Identifiers 1

Medicaid1234567SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2181872

Walmart Pharmacy 10-396 · Anderson, SC
Active · expires Apr 12, 2028
CLIA Number42D2181872
Laboratory TypePharmacy
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorRichard S. Hansen
Laboratory Phone(864) 231-6071
Laboratory LocationWalmart Pharmacy 10-3963812 Liberty Hwy, Anderson, SC 29621
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2181945

Walmart Pharmacy 10-4443 · Anderson, SC
Active · expires Apr 13, 2028
CLIA Number42D2181945
Laboratory TypePharmacy
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorRebekah Thompson
Laboratory Phone(864) 760-6162
Laboratory LocationWalmart Pharmacy 10-44432003 E Greenville St, Anderson, SC 29621
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

WAL-MART STORES EAST, LP
Eyewear Supplier
3812 LIBERTY HWY
ANDERSON, SC 29621
Anderson County (864) 225-1800
DR. MICHAEL WILLIAM MILICI O.D.
Optometrist
3812 LIBERTY HWY, SUITE #1
ANDERSON, SC 29621
Anderson County (864) 225-0474
CHARLES EDWARD CLARK
Technician/Technologist (Optician)
3812 LIBERTY HWY
ANDERSON, SC 29621
Anderson County (864) 225-2800
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
3812 LIBERTY HWY
ANDERSON, SC 29621
Anderson County (864) 231-6071
DR. MICHAEL MILICI & ASSOCIATES L.L.C.
Optometrist
3812 LIBERTY HWY, SUITE #1
ANDERSON, SC 29621
Anderson County (864) 225-0474
KRISTEN SWANSON PHARM.D.
Pharmacist
3812 LIBERTY HWY
ANDERSON, SC 29621
Anderson County (864) 231-6071

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 Walmart Pharmacy's NPI number?

The NPI number for Walmart Pharmacy is 1750785127. It was assigned to this organization in the NPPES registry on October 14, 2014.

Where is Walmart Pharmacy located?

Walmart Pharmacy is located at 3812 Liberty Hwy, Anderson, SC 29621. The listed phone number is (864) 231-6071.

What is Walmart Pharmacy's specialty?

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

Does Walmart Pharmacy hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Walmart Pharmacy was last updated on October 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.