Active NPI
Merritt Wallace
- Pharmacist
- Society Hill, SC
National Provider Identifier
1619421971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36759
- Practice address
- 743 S Main St
Society Hill, SC 29593-8972 - Phone
- (843) 378-4148
- NPI assigned
- Aug 4, 2016
- Last updated
- Sep 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36759 | SC | Primary |
Addresses
Primary practice location
743 S Main St
Society Hill, SC 29593-8972
Mailing address
104 Medford Dr
Darlington, SC 29532-2720
Phone (843) 260-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caresouth Carolina Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CSC Community Pharmacy-Society Hill
- Community/Retail Pharmacy
- Society Hill, SC
- NPI 1487142956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1619421971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MEDFORD DR",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295322720",
"telephone_number": "843-260-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 S MAIN ST",
"city": "SOCIETY HILL",
"state": "SC",
"postal_code": "295938972",
"telephone_number": "843-378-4148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "MERRITT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "36759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Society Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.