WALMART
NPI 1912381799
Pharmacy - Community/Retail Pharmacy in Georgetown, SC

Active since July 12, 2015CLIA 42D2179569 · Waiver
1310 N FRASER ST, ATTN: PHARMACY, GEORGETOWN, SC 29440(843) 527-2223 Get Directions Write a Review

NPPES record last updated: July 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walmart NPPES

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

WALMART (NPI 1912381799) is a healthcare organization registered as a community/retail pharmacy in Georgetown, South Carolina and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Chelsey Rae Mozingo, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1912381799
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALMART
Location Address1310 N FRASER ST, ATTN: PHARMACYGeorgetown, SC 29440-2800
Mailing Address2219 Brewster Dr Unit 326Myrtle Beach, SC 29577-1746 · (843) 424-6929
Organization SubpartNo
Authorized OfficialChelsey Rae MozingoPharmacist · (843) 424-6929
Enumeration DateJuly 12, 2015
NPI 1912381799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in SC · 36101
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

1310 N FRASER ST, Georgetown, SC 29440

CLIA Laboratory Certificates CMS CLIA

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 42D2179569

Walmart Pharmacy 10-625 · Georgetown, SC
Active · expires Feb 25, 2028
CLIA Number42D2179569
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorMr. Brent Icenhour
Laboratory Phone(843) 527-2223
Laboratory LocationWalmart Pharmacy 10-6251310 N Fraser Street, Georgetown, SC 29440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Optometrist
1310 N FRASER ST
GEORGETOWN, SC 29440
Technician/Technologist (Optician)
1310 N FRASER ST
GEORGETOWN, SC 29440
Pharmacist
1310 N FRASER ST
GEORGETOWN, SC 29440
Pharmacist
1310 N FRASER ST
GEORGETOWN, SC 29440
Pharmacist
1310 N FRASER ST
GEORGETOWN, SC 29440
Technician/Technologist (Optician)
1310 N FRASER ST
GEORGETOWN, SC 29440
Pharmacist
1310 N FRASER ST
GEORGETOWN, SC 29440
Pharmacist
1310 N FRASER ST
GEORGETOWN, SC 29440

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's NPI number?

The NPI number for Walmart is 1912381799. It was assigned to this organization in the NPPES registry on July 12, 2015.

Where is Walmart located?

Walmart is located at 1310 N Fraser St Attn: Pharmacy, Georgetown, SC 29440. The listed phone number is (843) 527-2223.

What is Walmart's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walmart hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2179569) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walmart was last updated on July 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.