Organization Active NPI

Seneca Pharmacy, LLC

  • Community/Retail Pharmacy
  • Seneca, SC
National Provider Identifier
1316339906
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15645 Issued in SC
Legal business name
SENECA PHARMACY, LLC
Practice address
15891 Wells Hwy
Seneca, SC 29678-1078
Phone
(864) 985-1359
Fax
(864) 985-1362
NPI assigned
Feb 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Eugene Wald, PHARM DNPI 1437408259
Title
Pharmacist in Charge
Phone
(864) 985-1359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 15645 SC Primary

Addresses

Primary practice location

15891 Wells Hwy
Seneca, SC 29678-1078

Mailing address

15891 Wells Hwy
Seneca, SC 29678-1078
Phone (864) 985-1359

Other identifiers 2

IdentifierTypeStateIssuer
DE3576OtherSCSC MEDICAID DME ID
715645MedicaidSC

Other names 1

  • Seneca Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151021000383 SC Part B Supplier - Mass Immunization (Roster Biller Only) 2163743808 Practice locations: Seneca, SC

National Provider Directory

National Provider Directory

Locations

15891 Wells Hwy
Seneca, SC 29678
Phone (864) 888-0405

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1316339906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15891 WELLS HWY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781078",
            "telephone_number": "864-985-1359",
            "fax_number": "864-985-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15891 WELLS HWY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781078",
            "telephone_number": "864-985-1359",
            "fax_number": "864-985-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "WALD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "864-985-1359",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "15645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID DME ID",
            "identifier": "DE3576",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "715645",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seneca Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.