Organization Active NPI

Walhalla Pharmacy LLC

Doing business as Walhalla Pharmacy

  • Long Term Care Pharmacy
  • Walhalla, SC
National Provider Identifier
1366806077
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
15849 Issued in SC
Legal business name
WALHALLA PHARMACY LLC
Doing business as
Walhalla Pharmacy
Practice address
206 E Main St
Walhalla, SC 29691-1927
Phone
(864) 916-0680
Fax
(864) 916-0681
NPI assigned
Apr 8, 2016
Last updated
Apr 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Dr. Youssef George Elaffy, PHARM.D, CGPNPI 1568861136
Title
Pharmacy Manager/ Owner
Phone
(864) 916-0680

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
Long Term Care Pharmacy 3336L0003X 15849 SC Primary

Addresses

Primary practice location

206 E Main St
Walhalla, SC 29691-1927

Mailing address

206 E Main St
Walhalla, SC 29691-1927
Phone (864) 916-0680

Other names 1

  • WALHALLA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1366806077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296911927",
            "telephone_number": "864-916-0680",
            "fax_number": "864-916-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296911927",
            "telephone_number": "864-916-0680",
            "fax_number": "864-916-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALHALLA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "ELAFFY",
        "authorized_official_first_name": "YOUSSEF",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACY MANAGER/ OWNER",
        "authorized_official_telephone_number": "864-916-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D, CGP"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SC",
            "license": "15849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALHALLA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walhalla, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.