WALL DRUGS OF PAMPLICO, INC. (NPI# 1639796022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639796022 |
| Entity Type | Organization |
| Organization Name | WALL DRUGS OF PAMPLICO, INC. |
| Practice Address |
616 S. Walnut Street Pamplico SC 29583 |
| Mailing Address |
Po Box 947 Johnsonville SC 29555-0947 |
| Practice Telephone | 8439330080 |
| Mailing Telephone | 8439330080 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | MR. DERRICK ALLAN WALL (OWNER) |
| Authorized Official Telephone | 8439330080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
616 S. WALNUT STREET |
| City | PAMPLICO |
| State | SC |
| Zip Code | 29583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295381564 | Lane Madison Hodges | Pharmacist | 616 S Walnut St., Pamplico, SC 29583 | 2019-08-13 |
| 1386109643 | Lorraine Sullivan Bennett | Occupational Therapy Assistant | Hanna Pamplico Elementary School, 2131 South Pamplico Highway, Pamplico, SC 29583 | 2019-01-31 |
| 1215141080 | Joseph Leonard Brown | Dentist | 905 S Pamplico Hwy, Pamplico, SC 29583 | 2007-05-10 |
| 1770670143 | Sandra Weatherford | Nurse Practitioner | 953 South Pamplico Hwy, Pamplico, SC 29583 | 2006-10-06 |
| 1700432606 | Life Links Behavioral and Medical Group | Counselor | 503 E Main Street, Pamplico, SC 29583 | 2019-08-15 |
| 1659820587 | Life Links, LLC | Home Health | 503 E Main Street, Pamplico, SC 29583 | 2016-10-04 |
| 1811191877 | Brandie Andrews Reynolds | Family Medicine | 953 South Pamplico Hwy, Pamplico, SC 29583 | 2007-06-13 |
| 1649512492 | Pamplico Rescue and Ambulance Service | Ambulance | 217 E. Third Ave, Pamplico, SC 29583-0532 | 2013-03-20 |
| 1235270109 | Tina Stone Chastain | Pharmacist | 616 South Walnut Street, Pamplico, SC 29583-0637 | 2007-02-12 |
| 1114922671 | Longs Drugs of Pamplico South Carolina Inc | Pharmacy | 616 S Walnut St, Pamplico, SC 29583-0637 | 2005-06-20 |
| Find all providers in zip 29583 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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 |
|---|---|---|---|---|
| 1114922671 | Longs Drugs of Pamplico South Carolina Inc | Pharmacy | 616 S Walnut St, Pamplico, SC 29583-0637 | 2005-06-20 |
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|---|---|---|---|---|
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| 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.