WALHALLA PHARMACY LLC (NPI# 1366806077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366806077 |
| Entity Type | Organization |
| Organization Name | WALHALLA PHARMACY LLC |
| Other Organization Name | WALHALLA PHARMACY |
| Practice Address |
206 E Main St Walhalla SC 29691-1927 |
| Practice Telephone | 8649160680 |
| Practice Fax Number | 8649160681 |
| Mailing Telephone | 8649160680 |
| Mailing Fax Number | 8649160681 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Authorized Official Name | DR. YOUSSEF GEORGE ELAFFY (PHARMACY MANAGER/ OWNER) |
| Authorized Official Telephone | 8649160680 |
| Authorized Official Credential | PHARM.D, CGP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
15849 | SC | Suppliers |
| Other Name | Type Code |
|---|---|
| WALHALLA PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972998128 | Walhalla Pharmacy LLC | Pharmacy | 206 E Main St, Walhalla, SC 29691-1927 | 2015-04-04 |
| Street Address |
206 E MAIN ST |
| City | WALHALLA |
| State | SC |
| Zip Code | 29691-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972998128 | Walhalla Pharmacy LLC | Pharmacy | 206 E Main St, Walhalla, SC 29691-1927 | 2015-04-04 |
| 1568861136 | Youssef George Elaffy | Pharmacist | 206 E Main St, Walhalla, SC 29691-1927 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598970097 | Steven Syck | Rehabilitation Hospital | 112 Falcons View Ct., Walhalla, SC 29691 | 2007-05-10 |
| 1710093281 | Sidney R Bryson Dmd Pa | Dentist | 107 N Earle St, Walhalla, SC 29691 | 2006-08-21 |
| 1578515649 | School District of Oconee County | Local Education Agency (LEA) | 414 S Pine St, Walhalla, SC 29691 | 2006-05-17 |
| 1093197980 | Michael Stephen Odom | Family Medicine | 103 Whitetail Dr, Walhalla, SC 29691 | 2015-06-26 |
| 1154703783 | Sarah Caroline Fabry | Family Medicine | 103 Whitetail Dr, Walhalla, SC 29691 | 2015-06-19 |
| 1295782290 | Robert Edward Lawson Iv | Chiropractor | 206 W Main St, Walhalla, SC 29691 | 2006-05-27 |
| 1770995953 | Linda Smith | Licensed Practical Nurse | 151 Razorback Ln, Walhalla, SC 29691-1624 | 2014-05-22 |
| 1245676824 | Alison Crocker Chiles | Registered Nurse | 177 Razorback Ln, Walhalla, SC 29691-1624 | 2013-05-22 |
| 1669810388 | Pearl Reese | Licensed Practical Nurse | 225 Coffee Rd, 225 Coffee Road, Walhalla, SC 29691-1777 | 2013-06-05 |
| 1508482555 | Maria Kraayeveld | Speech-Language Pathologist | 225 Coffee Rd, Walhalla, SC 29691-1777 | 2020-06-24 |
| Find all providers in zip 29691 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053414565 | Walhalla Prescription Shop, Inc. | Pharmacy | Box 428-1102 Central Ave, Walhalla, ND 58282-0428 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808035 | Hrm Rx | Pharmacy | 351 S. Midway Hwy Johnsonville, Johnsonville, SC 29555-2955 | 2020-10-12 |
| 1780290429 | Blue Ridge Pharmacy Inc | Pharmacy | 161 Pontiac Business Center Dr Ste 1192, Elgin, SC 29045-7123 | 2020-09-18 |
| 1134731649 | Select Care Pharmacy, LLC. | Pharmacy | 480 Jessen Ln Ste A, Charleston, SC 29492-7915 | 2020-08-18 |
| 1700426723 | Sweetgrass Pharmacy & Compounding LLC | Pharmacy | 1952 Long Grove Dr Ste 1, Mt Pleasant, SC 29464-7579 | 2020-01-07 |
| 1780122028 | Hospiconic Southeastern LLC | Pharmacy | 7275 Cross County Rd, Suite E, North Charleston, SC 29418-3318 | 2017-02-07 |
| 1811248412 | Genoa Healthcare, LLC | Pharmacy | 4 Harbison Way, Columbia, SC 29212-3402 | 2012-09-24 |
| 1093987091 | Clarendon Memorial Hospital | Pharmacy | 50 E Hospital St Ste 1, Manning, SC 29102-3149 | 2008-03-31 |
| 1891830899 | Generx Pharmacy | Pharmacy | 429 E Boundary St, Chapin, SC 29036-8388 | 2007-02-20 |
| 1316004633 | Preferred Care Pharmaceutical Services Inc | Pharmacy | 4794 A Hwy 162, Hollywood, SC 29449 | 2007-01-03 |
| 1245390707 | Longs Closed Door Pharmacy Inc | Pharmacy | 111 Executive Center Dr Ste 222, Columbia, SC 29210-8425 | 2006-12-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.